First Name
Last Name
Phone
*
Email
*
Age
Location
How did you find out about me?
What activities are you currently involved in?
How oftent do you workout per week?
How long does a typical workout last?
How long have you been exercising?
Have you had a personal trainer in the past?
If so, how was your experience?
Is your job / daily routine active or sedentary?
Rate your nutritional habits (1–10)
Why do you give yourself this rating?
How much water do you drink in an average day?
How many times a week do you eat fast food or at a restaurant?
Do you smoke, or have you ever?
How many alcoholic drinks per week do you consume?
How much Coffee / tea per week do you consume?
How would you consider your sleep patterns?
How many hours do you sleep per night?
Do you find your occupation stressful? If yes, why?
How long have you been working towards your fitness and health goals?
What fitness objectives do you most want to accomplish?
List your goals in order of priority
Target time frame to hit your goals
What barriers have prevented you from achieving these goals?
Will you receive motivation and support from friends or family?
Commitment level (1–10)
Do you experience, or have a family history of any illnesses?
Do you suffer from pain or stiffness? If yes where.
Injuries, surgeries or limitations I should program around
Height
Weight
Goal Weight
How many days per week can you commit to training?
Which days work best?
Preferred times
Do you prefer in-person or online training?
Anything else Bon should know?
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