Title Page
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Conducted on
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Prepared by
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Location
Consultation Form
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Client Name:
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Date:
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1. What are your major goals / targets?
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Weight loss / gain
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Sporting goal
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General fitness
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Improved flexibility
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Hypertrophy
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Muscular endurance/strength
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Nutrition/Diet
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Other:
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Increase fitness level
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2. Are there any body parts in particular that you wish to train?
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Arms
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Legs
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Stomach
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Glutes
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Other?
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Whole Body
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Chest
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3. What are your top three fitness/nutrition goals?
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4. How long after beginning your training do you expect it to take to begin to see changes in your body?
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6 weeks
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4 weeks
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26 months
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12 months +
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1 week
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2 weeks
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5. Do you have a specific event / date you want to achieve these by?
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6. Have you ever trained at a gym or had a personal trainer before?
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7. If you currently exercise, what would you say your routine is:
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8. What will motivate you to achieve your goals?
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9. How motivated are you to achieving your goals?
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1 Least
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2
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3
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4
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5 Most
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10. What, if any, are your expected barriers towards your exercise program?
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11. How many days do you require a personal trainer for?
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5 days
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3-4 days
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2 days
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1 day
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12. What time of the day do you prefer?
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Evening
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Morning
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Afternoon
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13. Would you like to keep track of your changes/measurements
