Personal Training Client Information

Name:
Address:
Phone
Emergency
Contact
Information
 

History

Please list any surgeries, medical conditions, etc.:
Are you currently taking any medications?
Are there any hereditary medical conditions I should be aware of.
Have you ever been involved in a car accident that has caused back injury or other type of injury?

Fitness Profile:

Have you ever trained in a gym or with a fitness trainer before?
If so, how often
Where?
What was your experience with that trainer?

Goals:

What are your fitness goals?
Lose weight?
Shape up?
Lose inches?
Are you currently dieting?


Miscellaneous:

Do you prepare your own meals?


How often do you eat out?
Are you married?


Do you have children?


  
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