Fitness Assessment

Complete this assessment to help us understand your fitness background, goals, and health history. Once completed, download and send it to your trainer.

Personal Information

First Name *

Last Name *

Email *

Phone *

Date of Birth

Gender

Male

Female

Other

Occupation

Emergency Contact Name

Emergency Contact Phone

Physical Measurements

Height

Current Weight

Body Fat % (if known)

Health History

Current Medications

Previous or Current Injuries

Previous Surgeries

Chronic Conditions (check all that apply)

Diabetes

Heart Disease

High Blood Pressure

Asthma

Arthritis

Back Pain

None

Do you have physician clearance for exercise?

Yes

Not Needed

Lifestyle

Average Sleep (hours/night)

Stress Level

Low

Moderate

High

Daily Water Intake

Alcohol Consumption

None

Occasional

Moderate

Frequent

Smoking Status

Never

Former

Current

Fitness Background

Current Activity Level

Sedentary

Lightly Active

Moderately Active

Very Active

How often do you exercise?

Never

1-2x/week

3-4x/week

5+x/week

Previous Fitness Experience

Favorite Physical Activities

Your Goals

Primary Goal

Weight Loss

Muscle Gain

Improved Strength

Better Endurance

Flexibility

Stress Relief

Sports Performance

General Health

Secondary Goals (check all that apply)

Weight Loss

Muscle Gain

Improved Strength

Better Endurance

Flexibility

Stress Relief

Sports Performance

General Health

Target Weight (if applicable)

Timeline to Achieve Goals

What motivates you to achieve your goals?

Nutrition

Dietary Restrictions or Allergies

Describe Your Typical Daily Meals

Current Supplements

Availability

Available Days for Training

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Preferred Time of Day

Morning

Afternoon

Evening

Preferred Session Length

30 min

45 min

60 min

90 min

Additional Comments

After downloading, please send your completed assessment to nick@discoverfitology.com