Harry Drew Coaching - Initial Consultation

Welcome!

First Name *

Last Name *

Email *

Phone *

Training History

Have you trained with a Personal Trainer before *

Yes

No

What type of exercise are you currently doing? *

How often are you exercising each week?

1-2

3-4

5+

How often do you eat junk food/fast food/uber eats? *

Everyday

Once a week

Once every few months

Never

Do you have any time preferences when it comes to scheduling workouts?

AM

PM

Anytime

Are you seeing positive changes or progress toward your goals?

Yes
No
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Goals

What are your top 3 Fitness Goals for 2025 *

Achieve a balanced lifestyle

Improve Mental Health

Reduced stress

Overall Fitness

Muscle Gain

Fat loss

Body composition changes

Cardio Conditioning

Muscular Endurance

Improve flexibility

Rehabilitation

Improved sleep

Increase Training Knowledge

Tell us why this is important to you; *

Do you feel there are emotional or mental blocks that may prevent you reaching your goals *

Rate your level of fitness

Unfit
Average
Good
Trained
Athele
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Rate your eating habits

Very Poor
Poor
Average
Good
Exceptional
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How many times a week do you plan to exercise? *

1-2

3-4

5-6

7+

Do you have any favourite exercises or type of workouts

Is there any additional information which would be useful in helping you achieve your goals?

Medical

Do you have any previous injuries? *

Yes

No

Do you experience aches or pains in bones, muscles or joints? *

Yes

No

Has your doctor advised or prescribed anything that may affect your ability to exercise? *

Yes

No

Do you know of any resason why you should NOT start physical activity? *

Yes

No

If you answered yes to any of the above questions in this section, please describe in detail;

If you need to reschedule or cancel an appointment, please notify your coach the day prior to avoid forfeiting your session *

I agree

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