Experienced Personal Trainer In Chiswick
07525061139
train@metabolicbootcamp.co.uk
Home
Blog
F.A.Q
Email Me
Facebook
Twitter
Youtube
Skype Me
What we do
30min 1:1 PT
Partner PT
1:1 Personal Training
For The Ultimate Body Transformation…
About
Testimonials
Nutrition
FAQ
Our Locations
Book your 1:1 trial
Tel: 07525061139
Initial consultation
Personal Details:
Name
*
Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Phone
*
Email
*
Enter Email
Confirm Email
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Lifestyle
How much sleep do you get each night?
*
Please enter a value between
0
and
16
.
Describe your job?
Sedentary
Active
Physically Demanding
Occupation?
Does your job require travel?
*
Yes
No
How many hours do you spend sitting?
*
Please enter a value between
1
and
18
.
Rate your stress levels generally? Enter 1 = Low stress / 10 = High Stress
*
Please enter a value between
1
and
10
.
3 biggest sources of stress i.e. Work, Lifestyle or Lack of sleep
*
What would you rate your current body shape? Enter 1=Not Ideal / 10 = Ideal?
*
Please enter a value between
1
and
10
.
What would you like your body to be? Enter 1= Not Ideal / 10 = Ideal
*
Please enter a value between
1
and
10
.
Fitness
When were you at your fittest?
*
When were you last exercising regularly?
*
What stopped you from getting fit in the past?
*
Where would you rate your current fitness level? Enter 1 = Low Fitness / 10 = High Fitness
*
Please enter a value between
1
and
10
.
Where would you like your fitness to be?
*
Please enter a value between
1
and
10
.
Nutrition
Do you always eat breakfast?
*
Yes
No
Do you ever skip meals?
*
Yes
No
Do you eat late at night?
*
Yes
No
How many glasses of water do you consume each day?
*
Please enter a value between
1
and
10
.
As a guide 2 litres is recommended especially when training
Do your energy levels drop during the day?
*
Yes
No
Can you estimate how many calories you're taking in currently?
How many times a week do you eat out?
Do you have any allergies to foods?
Such as gluten, or any symptoms of bloating or lethargy
Personal Training
Have you had personal training before?
Yes
No
If Yes, What were you training for? What exercises were you doing with your previous trainer? Did you get results?
*
List 3 goals you'd like to achieve with your trainers help?
When would you like to achieve these goals?
*
How motivated are you to achieving these goals? Enter 1=Not Very / 10=Very
Please enter a value between
1
and
10
.
Where would you rate health in your life?
Low Priority
Medium Priority
High Priority
Additional Notes
© Metabolic Fitness. 2019 |
Personal Training Chiswick W4, West London
FAQ
My Affiliate Links
Initial consultation
Privacy Policy
Disclaimer
