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Name

Address

Phone Number

What is your current fitness level?

primary workouts? days

Do you have any medical conditions, injuries, or physical limitations that could affect your workouts?

Yes/No (If yes, please provide details.)

Are you currently taking any medications that might impact physical activity?

Yes/No (If yes, please list.)

Do you have clearance from your doctor to participate in a fitness program?

What are your primary fitness goals?

What is your motivation for seeking personal coaching?

What results are you hoping to achieve within the next 3–6 months?

Do you currently have a fitness routine?

Yes/No (If yes, please describe.)

How many days per week do you typically work out?

What types of workouts do you enjoy or prefer?

Do you have access to any fitness equipment at home?

Yes/No (If yes, please list.)