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Client Questionare
Please answer this honestly ! Take your time with this please.
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Questionnaire
1
How old are you ?
Use numbers only.
2
What do you identify as ?
What are your pronouns?
3
what is your height ?
4
what is your weight?
In pounds please
5
Have you had any injuries recently?
If so please list the injury and how long ago
6
Do you have any medical issues
Heart issues, asthma,mental issues,etc.
7
What are your eating habits like
(Protein, carbs, dairy,nutrition,etc.)
8
" I have a good sleeping pattern"
Getting 8-10 hours of sleep each night
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
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Questionnaire
9
Are you currently doing any sports ?
if so what sport?
10
Have you had any current or previous experience with a trainer or fitness plan?
select one
yes
no
11
"I enjoy working out "
Select one or more answers
Strongly Disagree
Disagree
Neutral
Agree
Strongly agree
12
How confident are you when exercising ?
1 being low, 10 being high
13
How often do you workout a week?
I don't really workout
1 day out of the week
about 2-3 times a week
Everyday of the week
14
What type of exercises do you do already ?
15
What does you workout plan or workouts usually look like ?
16
What is you preferred workout method?
Select one or more answers
Weights
Bands
Body weight
Running
Machines
Other
17
How much do you lift ?
Only if you choose weights as your method
18
How available are you during the week ?
Select one or more answers
Monday - Friday
Wednesday- Friday
Tuesday - Thursday
Other (please specify)
19
What would you like to focus on ?
Select one or more answers
Upper body strength
Lower body strength
Losing weight
Build Muscle
Other (please specify)
20
What is your goal for the future after this fitness plan?
21
Why is your goal important to you ?
22
How much effort are you planning to put into this fitness plan?
1 being not much, 5 being as much as you can
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