Personal Details
Name *
Name
Phone
Phone
Training Details
Did you play any sports growing up as a child? Did you play sports in high school, college, semi-professional, or professional?
How long have you been working out?
What are 2 short-term (within 3 months) and 2 long-term (within 1 year) goals? Try to make them performance oriented. E.g - Be able to do 1 Chin-Up in 3 months
You can put an average, if it varies from week to week.
What time do you train? How often are you able to go to the gym and how long can you spend at the gym?
Try to be as specific as possible. What exercises, how many sets, how many reps, how long have you been doing this routine?
Type of cardio, typical duration, and how often per week?
Equipment Available *
Health History
Have you ever been hospitalized or had surgery? Have you ever had an injury, which required physical therapy? Anything else, you think I should know.
If you have required physical therapy, what was the duration and the treatment? When did this treatment take place?
Are you currently taking medication for anything?
Are you currently using any supplements? If so, what name and dosage?