Health & Fitness QUESTIONNAIRE

The following is a series of questions that will allow me to get a better understanding of who you are and your lifestyle. Upon completing, we will have a face to face or over the phone consultation to go further into detail on the personalized journey we will take to reach your fitness goals!!

Name

First Name

Last Name

Gender

Male

Female

Age

Height

Weight

Occupation

Fitness Goal - WHY?

Take your time and explain the real why you want to achieve this!

Importance of Goal

1 being not important 10 being very important

Nutrition Goal - WHY?

Take your time and explain the real why you want to achieve this!

Importance of Goal

1 being not important 10 being very important

Medications / Medical Conditions

Injuries

Water intake

Hobbies

Other information

Contact information