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SPRING LAKE
FITNESS & AQUATIC CENTER

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Personal Training New Client Questionnaire

*First name

*Last name

*Email

*Phone

*Birthday

Month

Day

Year

*Do you have any injuries or medical conditions?

*Please check any activity you currently enjoy:

Cycling

Hiking

Resistance Training

Swimming

Group Exercise Classes

Recreation Sports

Running/Walking

Yoga / Pilates

Other

*At what frequency do you currently exercise?

Please specify the number of minutes per day and the number of days per week

*How many years have you maintained this routine?

*Please select any goal areas you are interested in pursuing.

Cardiovascular

Muscle Gain

Skill or Event Training

Fat Loss

Mobility

Pain Management

Other

*What are you looking for in a Trainer?

*What is your preferred frequency?

Number of sessions per week

*What days or times work best for you?

*What is your preferred start date?

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