Free Fitness Consultation

Free Fitness Consultation at Personal Lifestyle Training.

Online personal fitness trainer.

Please fill out the following form to describe your physical history. Our trainers will review this form and call you back to discuss how best to address your needs. Your personal health matters to us, and we will give you a free training consultation with basic advice for your physical body. These are the things you will learn from our conversation:

How long it can or will take you to reach your goals the healthy way.
Cardiovascular exercise that is best suited for you.
How your eating habits can affect your health and workout routine.
Recommendations for any supplements.
How often to train.

All questions are optional, but the more answers you give, the more you can benefit.

Your Info:

1) Your Name (required)

2) Your Email (required)

3) Date of Birth

4) Height

5) Weight

6) If any, please list all preexisting or recently diagnosed injuries, illnesses, or diseases diagnosed within the last year.

7) Marriage Status

Married Single Long-term Relationship

8) Children?

9) If yes to above question, ages, and do they play any sports?

10) Occupation?

11) Can you briefly describe a day in the life of you?

12) Any physical activities that you find enjoyable?

13) Do you own a gym membership? If so what are their hours of operation?

14) REALISTICALLY, to reach your health and fitness goals, how many times per week, for how long would you be willing to perform exercises?

15) Do you have access to any type of workout equipment, if yes, please describe.

16) Home address

17) Home City

18) 16) Home State

19) Home Zip

20) Home Phone

21) Work Address

22) Work City

23) Work State

24) Work Zip

25) Work Phone

26) Cell Phone

27) Time you start work? Time you end?

How many breaks are you given?

History: Please explain as much as possible

1) Do you have any past experience with sports? Club, high school, college?

2) If yes to above question, how long ago?

3) How long has it been since you have been to your goal health and fitness level?

Goals: Please explain as much as possible

1) Could you please state your goals?

2) Any area of your body that you would like “extra” emphasis on?

3) Do you have a certain date that you would like to attain these goals? Wedding, reunion, vacation etc.?

4) On a scale of 1-10 how dedicated are you to reaching these goals?

5) Favorite type of cardiovascular activity?

Nutrition:

1) How many meals do you eat a day, including snacks?

2) How much protein?

3) How much carbohydrates?

4) How much fat?

5) Do you take any type of supplements? If yes, why?

6) Any foods that you cant stand, or will not eat?

7) Favorite food?