Name:
Email Address:
Phone Number:
Measurements:
Weight & Height:
Age:
Gender:
Existing Injuries:
Resting Heart Rate:
Resting blood Pressue (systolic/diastolic):
Stress Level ( L, M, H):
Times available for hour sessions:
Have you ever exercised with a trainer prior to now?
Do you have any areas of concern?
What would you like to focus on?
How often do you exercise?
What sports or physical activities do you enjoy most?
What are your fitness goals?