Age

Email address

Gender

Mobile number

Emergency contact number

Height (cm/ft in)

Family/dependents

Who do you live with?

Occupation

Working days and hours per week

If applicable

Physical requirements of job

Your activity levels in work; very active- sedentary

Do you travel with work, UK or overseas?

If yes, frequency and duration

Eating habits/general diet

On a scale of 1-10 (1 being poor, 10 being excellent) and give detail

Do you smoke?

Do you drink alcohol?

If yes, how many units on average per week?

How many hours sleep do you typically get?

Do you have high or low blood pressure?

If either, please give a reading

Have you had a major illness or injury in the last 5 years?

If 'yes' please give details

Are you receiving treatment for any diagnosed medical condition?

If 'yes' please give details

Are you taking any prescription medication?

If 'yes' please give details

Please detail any or present skeletal injuries

Please detail

Please indicate any other health problems you suffer from which you have not already mentioned

Please detail

Please detail your exercise history in adulthood

What type, when and more specifically in recent years

How active are you each week?

Anything that isn't planned exercise e.g. walking to work or school, cleaning, childcare etc

What is your current exercise schedule?

Type, intensity, duration, frequency- please give as much detail as possible

What would you say are the main barriers preventing you from exercising?

Do you have experience working with a Personal Trainer?

If yes please give information on when, what your goals were, the training you were given, what you did and didn't enjoy and any other relevant information

Please detail your exercise likes and dislikes

Please be specific and detailed e.g. walking, running, strength training, HIIT, cardio, yoga, boxing, competitions etc

Describe your training goals- short and long-term

Physique/appearance (specific body area?), strength, self-esteem, fat loss, stress management, health, muscle gain, cardiovascular, competitions etc

What days and times of the week do you intend to train

What equipment do you have available?

e.g. Dumb bells, bands, kettlebells, Trx, bench, mat, skipping rope, a full gym etc

What space do you intend to train in?

e.g. room in house/flat, garden, park, gym etc

Please give any other information not detailed that may be relevant

Please fill out the below if you would like to sign up