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PERSONAL TRAINING CONSULTATION

We are delighted to have you on board for Personal Training!

Before we begin, there's a few things we'd love to know about you first:

Please complete the consult form below and a member of our team will be in touch to discuss next steps!

ABOUT YOU:

Smoker?

Yes

No

Ocassionally

Pregnant (or planning to be):

Yes

No

Planning to be

N/A

My goals include:

LIFESTYLE:

Are you currently on any medication or supplements:

Medical/Health background (traumas/chronic stress/illness/disorders)

Family members health ( heart disease, diabetes etc)

Digestion (appetite, heartburn, constipation, bloating)

On a scale of 1 - 10 (1 being poor and 10 being excellent), please rate the below:

Energy Levels

Moods

Sleep

Immunity

Skin

Thirst

Hair/Nail condition:

Joint / Bone aches

Do you have any fillings?

Yes

No

Regular Menstrual Cycles?

Yes

No

Not Applicable

DIET:

Please provide us with an overview of your diet, i.e. what your average meal looks like the majority of the time:

Breakfast (include weekday & weekend)

Lunch (include weekday & weekend)

Dinner (include weekday & weekend)

Snacks (include weekday & weekend)

How often per week do you eat the following foods:

Bread

Pasta

Rice

Cakes

Biscuits

Cheese

Eggs

Cow's Milk

Yoghurt

Red Meat

Chicken

Beans

Soya

Fish

Potatoes

Vegetables/Salad

Fruit

Crisps

Chocolate

Popcorn

Peanuts

Nuts

Seeds

Fizzy Drinks

Juice

Tea/Coffee

Alcohol

Any other frequent foods?

Any additional information we should be aware of:

FITNESS:

Fitness Backgroud

Total Beginner

Have been fit, but currently unfit

Fit-Ish

Advanced

Athlete

Injured / Rehab

Pregnant / Post Partum

What types of workouts do you do now?

No Exercise

Walking

Golf/Tennis/Sporting Hobbies

Weight Training

Running

Cycling/ Swimming

Pilates/Yoga

Other:

Is there anything we need to know for planning your fitness regime?

GOALS:

What are your fitness goals? [the more detail the better]

What are your lifestyle goals? [the more detail the better]

What are your food related goals? [the more detail the better]

How motivated are you?

How open are you on changing some existing habits?

Going forward, how to you plan on working out?

At home

In The Gym Howth

In my local gym

Combination of home & gym

If you're planning to workout at home, have you any equipment? [please state everything]

If you're going to train @ The Gym Howth, what do you want to do?

Classes

Personal Training [Early Am]

Personal Training [AM]

Personal Training [Afternoon]

Personal Training [Evening]

Personal Training [Weekends]

Not Applicable

Thank you for completing our consultation form. I'll be back to you with a plan over the next few days. I look forward to working with you to help reach your fitness & lifestyle goals, Erica ♥️

Thanks for your time. We'll be in touch as fast as humanly possible :)

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