1. What is the reason you decided to seek a Personal Trainer?
2. What changes in your life may have caused you to seek a healthier lifestyle?
3. How active are you currently during the week?
4. How many times a week do you eat out? Select an option Never 1–2 times 3–4 times 5+ times
6. Are there any medications that restrict you from certain exercise regimens? If yes, please list them below.
9. What is the full extent of your medical history?
10. Does your prescribed medication affect your current weight? What side effects do you experience?
13. Are there any newly prescribed medications that have been added?
14. Have you been diagnosed with any of the following?
If other, please provide details.
03
Personal Training Goals
16. What are you looking to get out of working with a Personal Trainer?
19. What is the length of time in which you are trying to obtain these results? Select timeframe 1–3 Months 3–6 Months 6–12 Months 12+ Months No Specific Deadline
20. How soon are you looking to get started? Select an option Immediately Within 1 Week Within 2 Weeks Within 30 Days Just Exploring
21. Are you currently active on any type of physical or meal program?
23. Have you tried nutritional meal plans previously? If so, were they successful?
26. What type of cellular phone do you currently use? Select device iPhone Android Other
27. How familiar are you with your device's App Store? Select an option Very Familiar Somewhat Familiar Not Familiar
31. Have you ever used a special exercise-based program?
32. What do your current eating habits consist of?
35. Have you ever or do you currently smoke? Select an option Never Previously Currently Occasionally
37. Are you recovering from surgery or a previous accident?
38. Are you suffering from any previous or current injuries that may limit the use of certain exercises?
41. How many times per week are you interested in scheduling exercise sessions? Select frequency 1 Day 2 Days 3 Days 4 Days 5 Days 6+ Days
42. Would you prefer one-on-one sessions or class sessions? Select preference One-on-One Group Classes Combination
43. On a scale of 1–12, how organized of a person are you? Select 1–12 1 2 3 4 5 6 7 8 9 10 11 12
44. What is your ideal goal for consistently exercising per week? Select goal 1 Day 2 Days 3 Days 4 Days 5 Days 6 Days 7 Days
45. How did you hear about E.I.F.? Select an option Google Instagram Facebook Threads TikTok Friend / Family Current Member Event Other
