Name * First Name Last Name Email * Phone * (###) ### #### GENDER * Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact * (###) ### #### What days are best for you to participate in the training program? * What time of day is it best for you to participate in the training program? * Body measurements (height, chest, waist, hips, arms, weight):Ht:_____ Ch:_____ W:_____ H:____ A:____ Wt:____lbs * Please describe your training goals briefly * How would you rate your motivation towards your training goals (low, medium, high, very high)? * What is the main motivating factor behind you joining a training program? * Are you satisfied with your weight? If not, what body weight would you like? Are you motivated enough to follow a rigorous training regime for up to 2 months with a controlled diet? * Have you been training in the last year? If yes, please describe any improvements in your fitness level. * What are the main things that you are looking forward from the training program? * How many months are you ready to spend to achieve your objectives? * Thank you! PERSONAL TRAINER ASSESSMENT
