Personal Training Intake - Bethany Athletic Club

Personal Training Intake Form

Name

Age

What Are Your Fitness Goals?

How Quickly Do You Want To Reach Your Goals?

How Many Times a Week Do You Work Out?

How Many Days of Strength Training?

How Many Days of Cardio?

Do You Have Chronic Pain? Please Describe

Any Major Surgeries in the Last 5 Years?

Any Diagnosed Lung or Heart Disease? Please Describe.

Any Chest Pain While Exercising?

What Qualities Do You Look For In A Trainer?

What Days or Times Work Best?