Virtual Training – Health History Form

Virtual Training – Health History FormBrent Bishop2020-05-10T11:39:17-04:00

Please take a moment to provide some details about your exercise and health history.

Contact Info
Name*
First Last
Phone
Email*
Birthdate
Exercise History
Have you ever been on a structured fitness program?*
How would you rate your current fitness level?*
Please outline your main health and fitness goals*
Please outline any current injuries/limitations*
Fitness Programming
What type of equipment do you have access to?*
- Dumbbells
- Exercise Ball
- Resistance Bands
- TRX or Suspension Trainer
- Foam Roller
- Barbell
- Kettle bells
Other Equipment
How many days/week can you commit to following a program?*