Client Questionnaire

Your Name (required)

Your Email (required)

Preferred contact method?
 Email Phone

What are you interested in?
 Personal Training Sessions Small Group Classes Bootcamp Home/Outdoor Training Private Group Sessions

What would you like to achieve as a result of your sessions?

Have you had a personal trainer or attended fitness classes in the past?
 Yes No

If so please give some details:

What is your current exercise regime?

How do you rate your current fitness level? 1 = very poor
 1 2 3 4 5 6 7 8 9 10

Would you like to improve your diet?
 1 2 3 4 5 6 7 8 9 10

Any other information?