It is all about aligning your fitness program with your fitness goal. Whether that’s to lose fat, build muscle to look better naked, get in shape for your wedding, improve your performance in triathlon or just live an all-round healthier life.

This is your consultation form, in which I’ll ask you to provide some relevant personal information. The answers to the questions are essential to allow me to put together an optimised individual fitness program/session for you. It is the start of the process where I help you get the results your after while still enjoying and living life the way you want. Please answer all questions in the most accurate manner possible while being as concise as possible.





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Name

Email

Gender

Age

Date of Birth

Height

Weight


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What would you like to achieve?

Why haven’t you achieved it yet? (Be honest)

What is more important to you – immediate progress that’s less easily maintained, or maintainable progress that may not be as rapid? Please explain why: (Again, be honest)


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What do you do for a living?

Rate your overall activity level:
 None Moderately active Active Very active

Take me through a typical day, from the time you wake up to the time you go to sleep (including work, breaks, working out, what you eat, when you eat etc…)

Are Weekends different? And if so, how?

How many meals per week do you eat in restaurants or get take-aways?


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How would you rate your current level of fitness?
 Poor Fair Decent Awesome

How much time and on which days would you realistically be prepared to commit to exercise? (Be honest)

What kind of things do you like doing, have liked doing in the past or think you will like doing in the future? (I’m talking exercise-related here)

What kind things do you NOT like doing, have NOT liked in the past or think you would NOT like doing in the future? (Again, exercise-related)

What equipment do you have access to?

Have you had a trainer before? And If you did, why did you stop?

Are you currently exercising consistently?
 Yes – continue on to 'Consistently Exercising' No – continue on to 'Not Consistently Exercising'




CONSISTENTLY EXERCISING…


How long have you been consistently exercising without a break?

Please provide the details of your current exercise routine below. Give as much detail as possible, including the duration and type of exercise you perform: resistance training (full body/lower body/chest and triceps etc..) low-intensity cardio; high-intensity interval cardio; sport; as well as specific exercise selection.

Please rate your ability in the following exercises:

Deadlift
 Beginner Intermediate Advanced

Squat
 Beginner Intermediate Advanced

Bench Press
 Beginner Intermediate Advanced

Shoulder Press
 Beginner Intermediate Advanced

Chin Up / Pull Up
 Beginner Intermediate Advanced



NOT CONSISTENTLY EXERCISING…


If you are not currently exercising regularly, have you ever exercised regularly?

If you have exercised on a consistent basis previously, how long ago was this and how long did it last?

What exercises have you done in the past?


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If you have any diagnosed health problems, please list the conditions:

If you are on any medications, please list them:

If you have any injuries or limitations, please list them:


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Music or Movie?
 Music Movie

Day or Night?
 Day Night

Bond or Bourne?
 Bond Bourne

Diet or Exercise?
 Diet Exercise

Lover or Fighter?
 Lover Fighter

Batman or Ironman?
 Batman Ironman

Beach or Mountain?
 Beach Mountain

Lead Singer or Lead Guitar?
 Lead Singer Lead Guitar

Cats or Dogs?
 Cats Dogs

Home Cooked or Restaurant?
 Home Cooked Restaurant

What’s your most treasured possession?

What’s your guilty pleasure?

What would your last supper be?

What superpower would you like?

What is the last song that played on your music player?

What are your expectations of me?

Is there anything else that you think might be relevant or would like to tell me?

Are you committed to achieving the above?
 Yes, lets do this. No, not really.

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