CONSULTATIONS

FITNESS CONSULTATION QUESTIONAIRE

Filling out this form will help me get a better understanding of how I can help you with your fitness journey.

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Name

Phone

Age

Do you smoke?

Yes No

How often do you drink?

Often Sometimes Social Drinker I don't drink

How many hours do you normally sleep each night?

Describe your eating habits:

What is your average daily water intake?

Less than 6 cups Between 6-8 cups More than 8 cups

How many days a week are you comfortable working out?

3 Days 4 Days 5 Days Other

Describe your short-term fitness goals? (6 months or less)

Describe your long-term fitness goals (6 months or more):

Desired fitness outcome (check all that apply)

Lose weight (more than 10lbs) Tone your body Build lean muscle (majority muscle, least amount of fat) Weight Gain/ Mass Building (more than 10lbs)

Do you have current/previous fitness experience? If yes, describe below:

What is your biggest challenge when it comes to fitness?

What is your commitment level?

Very High High Medium Low

What are your physical strengths? (Areas that you are good at)

What are your physical weaknesses? (Areas that you struggle with or need the most help)

Do you have any health issues that might impact your fitness?

Do you own any equipment? (dumbbells, resistance bands, barbells, etc.)

Where is your preferred workout environment?

Home Gym Mixture of both home & gym

What area/areas of your body would you like to focus on?

Tell me about any other fitness/body goals, concerns, and or information that you would like to be addressed.

How soon would you like to begin? (YYYY-MM-DD)

“Such a good program! I love how QUICK THE WORKOUTS WERE, and the detailed guides making the program SUPER EASY TO FOLLOW. Would definitely recommend it to anyone looking to get an effective workout in without having to leave the house.”
– Cheyenne.

“The Mthreexperince lean muscle building guide was challenging but manageable. I enjoyed the variety of exercises provided, I feel stronger, more capable and I am super motivated to exercise, plus I am starting to see ABS.”
– Kaitlyn.

FITNESS CONSULTATION QUESTIONAIRE

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