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Personal Training Consult Form

This training form will be completed during the initial consult before a driver starts their personal training packages.

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Personal Training Consultation Questionnaire-Around 1 hour to finish

Name*
Inform the driver/in-house associate that workouts will be delivered via email so it must be a valid email address and one they look at often
MM slash DD slash YYYY
Gender
Feet and inches
Pounds
What type of driver or associate are you?*
What division do you work in?
Are you a current cigarette or tobacco user?*
Do you suffer from any of the following conditions?
Please select all that apply
Do you have any injuries or past surgeries that could effect your ability to workout?*

Please list in order of priority, the fitness goals you would like to achieve in the next 3-12 months...

Would you like a referral to our DHF Dietitian for a nutrition assessment to go along with our training sessions?*

Training Program details

We have a few different methods for personal training. Please pick which you want to do with your current training package.*
How many workouts would you like us to write for you each week?*
How long do you want each workout to last?*
Where will you be doing your workouts?*
What is your workout experience level?*
What equipment will you be training with? Please check all that apply.*

Accountability Check-Ins

We offer periodic check-ins for this service to make sure you are reaching your goals. The following questions are based on this portion.
How should we reach out to for these accountability check-ins?*
How often would you like us to check up on you through our accountability check-ins?*

Conclusion

Now that the client has gone through the consult, explain how the virtual or in-person fitness assessments work. Virtual assessments will be done by the client only on their own, whereas in-person client assessments are best done monitored by the trainer.
  • About Us
  • Services
    • Sleep Apnea Program
    • Personal Training
    • Nutrition Counseling
    • Tobacco Quit Program
    • Primed for Life
    • Telehealth
  • Driver Spotlights
  • CDWP
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(417) 521-3473
[email protected]

2740 N Mayfair Ave, Springfield, MO, 65803

Our Services

  • Sleep Apnea Program
  • Personal Training
  • Nutrition Counseling
  • Tobacco Quit Program
  • Primed for Life

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  • About Us
  • Services
    • Sleep Apnea Program
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    • Tobacco Quit Program
    • Primed for Life
    • Telehealth
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  • CDWP
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