Fitness Assessment
Date: _______/_______/_______
Last Name:___________________ First Name:______________ Birthday:___/___/___
Address:__________________________________City:____________State:________
Home Phone:_________________Work:_____________Cellular:_________________
Married:_____Single:______Children:_______________________________________
Email address: __________________________________________________________
- What is you primary physical Goal ____________________________________________________________________________
- How much strength training experience do you have ( ) 0-6 months ( ) 1-3 years ( ) 4+ years
- Are you currently doing any exercise? If yes, what type?____________________________________________________________________________
- How many days per week?________For how long?________Intensity (easy – moderate – hard)
- Do you have any physical hobbies or sports that your active in? If so, what type ? ____________________________________________________________________________
- Have you ever worked out with a fitness professional or personal trainer? (Y) (N) If so, what was your goal____________________________________________________________
- Today, On a scale from 1-10, how serious are you about reaching your goals?_____________
- Do you have a time frame for completing these goals? (Y) (N) Date: _____/_____/________
- Are you interested in a nutrition plan or guide, to help you meet your goal? (Y) (N)
- Are there any current physical injuries or medical health conditions your trainer should be aware of?___________________________________________________________________________________________________________________________________________________________________
- With outside obligations, When is your ideal time slot to exercise during the week ____:____a.m. or p.m.
- When would be a good time of day to contact you ? _________________________________
Signature_______________________________Print Name__________________________
*ALSO below you may download the Fitness assessment to print and fill out to submit
fitness_assesment.odt | |
File Size: | 20 kb |
File Type: | odt |