SarahTesting

Name *

First

Last

Gender

Height

Weight

Your height and weight is useful to us when writing up your training program.

1. Do you have,or have you had, any of the following conditions? (Tick all that apply)

1a.

2. Do you have,or have you had, any joint problems, pains or injuries in any of the following areas? (Tick all that apply)

2a.

3. Are you currently taking any medication/s?

3a. If Yes, please list

4. Have you had any major surgery during the last 12 months?

4a. If Yes, describe

5. Do you want a training program written up? *

Only complete the following questions if you wish to have a training program written up for you.

6. How would you rate your fitness?

7. Are you currently engaged in physical exercise?

7a. If Yes, desrcibe

7b. Current Frequency and Duration

8. If you are not currently exercising, have you ever engaged in physical exercise?

8a. If Yes, when

8b. Previous Frequency and Duration

9. What is your Main Goal

10. How main days a week do you want to train?

11. Are there any body parts you want to focus on?

12. Are there any body parts you don't want to focus on?