Consult – Neil Pro Fitness

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Personal Information

Age *

Gender *MaleFemale

Name *

Weight (kg/lbs)

Weight

Height (ft/cm)

Height

Email Address *

Phone

City *

State/Province

Country

LanguageEnglishEspañol

Health & Medical History

Do you have any medical conditions or injuries? *YesNo

(Yes/No) If yes, please specify:

Are you currently on any medications? *YesNo

(Yes/No) If yes, please list them:

Have you had any surgeries in the past 5 years? *YesNo

(Yes/No) If yes, please explain:

Do you have any allergies (food, medication, etc.)? *YesNo

(Yes/No) If yes, please list them:

Do you experience pain or discomfort during exercise? *YesNo

(Yes/No) If yes, If so, please describe:

Have you ever been diagnosed with any heart-related conditions, high blood pressure, or diabetes? *YesNo

(Yes/No) If yes, If so, please describe:

How many hours of sleep do you get per night on average? *

How would you rate your stress levels? *

(1-3 Low / 4-7 Moderate / 8-10 High)

Fitness Goals & Experience

What are your main fitness goals? *Weight lossMuscle gainToningStrength improvementEndurance improvementOverall health & wellness(Select all that apply)

How long have you been training? *BeginnerIntermediateAdvancedNone of the above

Have you worked with a fitness coach before? *YesNo

Do you have any experience with weight training? *YesNo

How many days per week can you commit to training? *

How much time per session can you dedicate to workouts? *

Nutrition & Lifestyle

How would you describe your current eating habits? *

Do you follow a specific diet? *

How many meals do you eat per day on average? *

How much water do you drink daily?

Do you drink alcohol?YesNo

If yes, how often?

Do you track your food intake?YesNo

Training & Equipment Access

Do you train at a gym or at home?

If at a gym, what equipment do you have access to?WeightsMachinesTreadmill

If at home, what equipment do you have?DumbbellsResistance BandsBicycleTreadmill

Are there any exercises you dislike or want to avoid?YesNo

If yes which?

Accountability & Coaching Preferences

What motivates you the most to stay consistent with your workouts?

What challenges have you faced in the past with fitness or nutrition?

How do you prefer to receive coaching feedback?VideoTextCalls

What you think been stopping you from reaching your goal?

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Unlock your full potential with a fitness program tailored just for you. When you subscribe to my coaching service, you gain access to a fully customized fitness plan designed to meet your unique goals and lifestyle.

Transforming Lives, One Workout at a Time.

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