Fitness Assessment Form

Client Information

Full Name

Date of Birth

Contact Number

Email Address

What are your primary fitness objectives? (Please select all that apply)

Weight Loss

Muscle Gain

Flexibility/Stretching

Cardiovascular Endurance

Sport-Specific Training

Rehabilitation

Other…

Have you worked with a personal trainer before?

Yes

No

Please describe your experience working with a personal trainer.

Describe your current level of physical activity (e.g. sedentary, lightly active, very active)

List any past injuries or surgeries:

Are there any medical conditions or medications I should be aware of?

On average, how many hours of sleep do you get each night?

Describe your current dietary habits

How would you rate your current stress levels on a scale from 1 to 10?

What are your main sources of stress?

How many days per week are you looking to train?

Do you have a preference for workout times (morning, afternoon, evening)?

Are there specific exercises or activities you want to avoid?

How do you best learn new information or exercises?

Visual (seeing it done)

Auditory (hearing instructions)

Kinesthetic (doing it yourself)

How would you prefer to receive feedback during our sessions (e.g. direct, supportive, written notes)

What motivates you the most? (e.g. seeing results, positive reinforcement, challenging goals)

What are your favorite hobbies or activities outside of fitness?

Are there any other concerns, questions, or information you feel I should know about?

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