How Committed are you in achieving your goal (Scale 1 – 10)?
How do you rate your health at this time (Scale 1 – 10)?
Do you have a time frame in achieving your goal?
If so, what is your time frame?
Have you ever participated in a weight training or resistance program?
If so, how long?
Have you ever participated in a cardiovascular program?
If so, how long?
What 3 activities do you enjoy participating in?
How did you feel when you were involved in a exercise program?
What is your Present Weight?
Desired Weight:
What is your Height:
How many years have you been at your Present Weight?
How many days per week does exercise fit into your lifestyle?
When did you first start to think about improving your health?
What prevented you from getting in shape in the past?
What do you feel would be different this time?:
Are you currently taking any supplements?
If so, which ones?
Have you ever worked with a personal fitness trainer?
How many times a day do you eat (including snacks)?
Do you have highs and lows in your energy level?
Are you currently working out?
If so, how long have you been consistent with your current workout regimen?
Have you ever used meal replacement drinks or bars?
If so, what brands?
Have you ever had your body fat percentage calculated?
If so, what was it?
How would you rate your health as a priority in your life (Scale 1 – 10)?
Do you currently have any pre-existing medical conditions (i.e. High Blood Pressure, cancer, etc.)?
If so, which ones?
Are you currently on any medications?
If so, what medications?
