Request edit access
Private Training Questionnaire!!!
Many health benefits are associated with regular exercise, and the completion of physical readiness questionnaire is a sensible first step to take if you are planning to increase the amount of physical activity in your life.
For most people physical activity should not pose any problem or hazard. This form is designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them. Common sense is the best guide in answering these few questions.

Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Height *
Weight *
Address
Do you have any of the following:
Are you working out regularly? *
How many times per week?
On a scale of 1-10, how much do you personally know about fitness? *
Have you worked with a personal trainer before? *
Have you attempted your fitness goals in the past and lost focus? *
How many times?
What are your biggest challenges when going after your fitness goals?
Which affects you most?
On a scale of 1-5, rate your diet with 5 being the most healthy. *
How many times a week are you eating out? *
Do you smoke? *
Do you drink? *
On a scale of 1-10, how passionate are you about completing your fitness goals? *
How would it change your life to achieve these goals?
How did you hear about me?
Do you follow my social media? (IG/FB/Snap: JayTrainzz) *
Are you excited to start your fitness goals with JayTrainzz? *
What’s your Instagram or FB Name? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms