Client Forms › Form 3 of 9

Get to know you

Personal Trainer Support Questionnaire

Tell us about you, your goals and your life, so your plan fits you. There are no wrong answers.

Train. Transform. Triumph.

Your details

What results do you want?

The results I want (check all that apply)
Which areas would you most like to focus on?

We can strengthen and shape the muscles in any area. Fat loss happens across the whole body, not in one chosen spot, so your plan trains the whole body.

Your timeline and your why

How important is it for you to achieve these results? (1 = not very, 10 = extremely)
LowHigh
How confident are you that you can stick with it right now? (1 = not at all, 10 = very)
LowHigh

Your lifestyle

Your usual stress level (1 = calm, 10 = very stressed)
LowHigh
Do you smoke or vape?
Are you pregnant, or have you had a baby in the last 12 months?

If yes, please get your health care provider’s written OK before training, and tell your coach about any changes.

Health history

Have you ever had or experienced… (check any)

Done? Send it to Chad

“Send to coach” opens the email app on your phone or computer (like Mail or Gmail) with your answers already typed in. Look it over, then press Send in your email app. Nothing is sent until you do, and this page doesn’t save your answers anywhere.

Email app didn’t open? Tap “Copy my answers”, then paste them into an email to triumphanttransformation@gmail.com. Or save as a PDF and attach it.

Not medical advice. Talk with your doctor before starting any exercise program, especially if anything on the Health Readiness Check applies to you. “I can do all this through him who gives me strength.” Philippians 4:13 (NIV)