PERSONAL TRAININGQUESTIONNAIRE Raise Your Limits!Thank you for signing up for a personal training with Limitless Training. We look forward to helping you to reach your goals! Please fill out this questionnaire. Be specific & accurate! This information will help us to guide you in achieving your fitness goals.What type of package did you sign up for? *In-Person TrainingVirtual TrainingAbout YouLet's start with some general info about you.Your First Name *Your Last Name *Address *City *State *ZIP Code *Email Address *Phone # *Birthday *MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearSelect Year20102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940Gender *Weight (Lbs.) *Height (Feet) *Height (Inches) *Occupation *How did you hear about us?Your Emergency ContactLet's get some info about who to contact in the case of an emergency.Emergency Contact First Name *Emergency Contact Last Name *Address *City *State *ZIP Code *Email Address *Phone # *Your Relation to Contact *Your FitnessLet's talk about your goals and challenges.Tell us about your average day. *What are your fitness goals? *Is there a date or an occasion you'd like to accomplish these goals by? *What would achieving these goals help you do? *How many days per week would you like to work out? *1234567Where do you workout? *HomeGymOtherWhat type of equipment do you have access to? *Are there any equipment limitations at the gym? *Do you have any food allergies? *NoYesPlease describe your food allergies. *What are your current eating habits? *Do you have any underlying medical conditions affecting your nutrition? *NoYesPlease describe your medical condition(s) that affect your nutrition. *Have you had any cosmetic surgeries? *NoYesPlease describe any cosmetic surgeries that you have had. *Have you worked out with a trainer in the past? *YesNoWhy did you stop working with the trainer(s)? *Your Medical HistoryDo you have any past or present medical issues that may impact your ability to exercise?YesNoPlease describe your medial issues or injury in relation to working out.Are you currently injured?YesNoPlease describe your medial issues or injury in relation to working out.Have you been cleared by your doctor to exercise?YesNoValidate Your Entries * I verify that I have answered all of the questions on this form honestly and to the best of my knowledge at this time. SubmitSave as DraftPlease do not fill in this field.
