Done Son! Fitness Questionnaire
Name
Phone
Email
What services are you interested in?
Personal Training
Small Group Training
Boot Camp
Nutrition Guidance
Would like more info
Are you wearing a pacemaker?
Yes
No
Please check all that apply
I am 55+ years of age
I am a smoker
I have not exercised consistently in 3+ months
I am a diabetic
I have a history of heart disease in the family
I have high blood pressure
How old are you? Do you have any current/past injuries?(ex: knee pain, back pain, broken bones, etc)
Where have you struggled most in achieving your health/fitness goals? What do you want to achieve? (ie: weight loss, strength, endurance)
What exercises do you enjoy? What sports do you like? Any areas of the body you want to work on specifically?
Emergency Contact Name & Number
Submit