Full Name:
Age:
Gender: Male Female
Height (cm):
Weight (kg):
Preferred contact method (email, phone, etc.):
Email:
What are your primary fitness goals? Weight LossMuscle GainEnduranceFlexibilityOther
What motivated you to start this journey?
Do you have a specific deadline or event you’re working toward?
What does success look like to you?
Have you worked with a trainer or coach before? YesNo
How long have you been exercising regularly?
What types of exercises or activities have you done in the past?
How comfortable are you with gym equipment and weightlifting?
Have you had any previous fitness accomplishments?
How many days per week can you commit to training? 1 day 2 days 3 days 4 days 5 days 6 days 7 days
How much time can you dedicate to each session (min)?
Do you currently follow a workout plan? YesNo
If yes, please describe it:
Are you involved in any other physical activities or sports?
Do you have any medical conditions or injuries I should be aware of? YesNo
If yes, please describe:
Are you currently taking any medications that may affect your training? YesNo
If yes, please specify:
Do you have any physical limitations, pain, or discomfort during exercise? YesNo
Have you been cleared by a doctor to exercise? YesNo
Do you follow a specific diet or eating pattern? YesNo
How would you describe your eating habits?
Do you have any food allergies or intolerances? YesNo
If yes, please list:
How many hours of sleep do you typically get per night?
What does your daily activity level look like?
Do you prefer in-person or online coaching? In-personOnline
What type of training do you enjoy or find most motivating?
Are there specific exercises or activities you dislike or want to avoid?
Do you have access to a gym? YesNo
If yes, what equipment is available?
How would you like to track your progress? MeasurementsPhotosPerformance MetricsOther
How often would you like updates or adjustments to your program?
What challenges have you faced in the past when trying to achieve your fitness goals?
What support or accountability do you think you need to stay consistent?
Do you have any specific questions or concerns about the program?
Is there anything else you’d like me to know that will help me design your program?
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