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Personal Training for the
Ladies
Hello!
This is a safe space where you get to share with me your fitness goals, challenges, and hopes. This is our first step towards getting you stronger, moving better, and living well.
Let's chat (:
Pre-Consult Questionnaire
Do you have any previous Personal Training (PT) experience?
Yes
No
What was the biggest challenge and biggest achievement from your last training experience?
How would you describe your daily activity level?
Sedentary
Active
Very Active
What are some things you are doing right now to stay active and fit?
I believe you are here for a reason 🙂 In a single line/short paragraph, please share with me what you hope to achieve through a Personal Training experience.
What type of training would you like to focus on?
Strength & Conditioning
Weight Loss
Rehab / Pain Relief
Posture Correction
Pregnancy / Postpartum
Active Aging
Cardiovascular Endurance
Sports Performance
Others
Please state:
What are your primary fitness and/or health goals for the next 1-2 years?
Please state any medical / surgical / injury history and current pain points that I should know of.
Share with me in one paragraph / bullet points, an average day in your life. Be as detailed as you can.
What are your preferred training day(s)?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What are your preferred training timing(s)?
Morning
Afternoon
Evening
Please state any dietary restrictions (if any)
First Name
Last Name
Mobile (65)
Age
Is your period regular?
Yes
No
N/A
Profession
Which area are you residing in?
North
NorthEast
Central/South
East
West
Assuming you're going to start training, how much are you willing to push yourself beyond your comfort zone to grow when necessary?
Anything it takes
Moderately
Just a little
What is your preferred training frequency?
Once a week
Twice a week
Thrice a week
More than thrice a week
Please state the name of your referrer (if any)
Submit
Coaching that helps you live a strong, pain-free life.
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KO.AX by ZEROTENLABS PTE. LTD.
All Rights Reserved.
We can’t choose how long we get to live, but we have the power to shape the quality of our lives.
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