Exercise Goals and Intent.
This form helps your trainer understand your goals and the reasons for your taking on an exercise program. Please fill out this form to assist your trainer in delivering the best training outcomes for you. Please answer these questions as honestly as you can. All information provided will be treated as confidential.
Client Name: ____________________________________
What is your main goal for exercising?
Shaping & toning?
Lowering blood pressure or cholesterol
Other (please explain)
What is your ultimate outcome (i.e. In six month’s time how would you ideally like to describe your body, physical vitality or performance?):
Why is this outcome important to you?
How long have you been thinking about getting into better shape?
Does your spouse support you in your endeavor to enjoy a more fit and healthy lifestyle?
What had stopped you from either getting starting or staying on a consistent exercise and nutritional program in the past?
Why or how is that going to be different this time?
Are you participating in any physical activity now? What & how often?
If not, how long has it been since you've been involved in a regular exercise program?
Is there any area of you body that you want to specifically work on?
On a scale of 1-10, how serious would you say that you are towards accomplishing your health and fitness goals?
Have you ever had a health/fitness program designed for you by a professional trainer before? If so, how long ago?
Do you have any dietary restrictions? ex: lactose intolerant, diabetic, hypoglycemic etc...
How much time per week are you willing to commit towards accomplishing your fitness goals?
What type of cardiovascular exercise do you enjoy the most?
Pre-core elliptical machine
Is there any thing not previously mentioned that would prevent you from getting starting on a regular exercise program today?
Client Signature : _____________________________ Date : ___________