THE BODYWEIGHT WORKOUT TRAINING PROGRAM

VIP PACAKGE: ASSESSMENT FORM

Welcome!

Awesome work on taking the first step of your training journey! The fun and hard work starts here… and so do the rewards! You’ll be feeling more energised, motivated and confident in no time.

I just need a little information from you so I can start to get to work on creating your personalised 3-month bodyweight training program.

Once submitted, I aim to have a training program back to you within 3 working days.

Completing the Form

Some people like to complete the online course first, but you can sumbit the form whenever you like – it’s completely up to you.

If there are any parts of the form you’d rather not answer, just leave it blank. Only a few key questions are mandatory.

Questions?

If you have any questions about the form, drop me an email: [email protected]

Your Confidentiality

All the information gathered here will only be used to build your program and will not be used for any other means. It will be treated as confidential at all times.

Personal Information

Weight in kgs

Height in cm

Occupation

Current Fitness Level Assessment

Sports or Training History (if any)

How often do you currently participate in physical activity?

not in the past 6 months 1-2 times per week 2-4 times per week 5-7 times per week

Do you suffer from any historical injuries?

If yes, please describe these injuries

How many of the following exercises can you perform, before your muscles reach failure? (Unit 2 of my course will show you how to perform each of these movements). If the answers are 'none', that's fine!

Push-up

Pull-up

Dip

Leg Raise

How would you rate your exercise motivation levels?

Excellent - 'I can't wait to get started' Good - 'I'm mentally prepared' Okay - 'If I have to, I will' Poor - 'I need help with finding motivation' 'I can't believe I signed up for this - was I drunk?!'

To help me understand your nutritional and lifestyle factors, please answer the following:

Do you smoke?

Yes No

How many portions of fruit/veg do you have per day?

1 or less 2-3 3-4 5+

Overall, how would you rate your nutrition?

Good Ok No so good

How many hours of sleep do you get each night, on average?

Less than 4 4-6 6-8 8+

Goal Setting

Where would you hope to do most of your workouts?

What fitness outcome would you most like to achieve within the next 3 months?

Do you have access to a pull-up bar?

Yes No

In the past, what has stopped you achieving your fitness goals?

Important Medical Questions

Please be honest in answering these important health-related questions. Responses are treated in confidence.

Has your doctor ever said you have heart condition OR high blood pressure?

Yes No

Do you feel pain in your chest area when doing physical activity OR when resting?

Yes No

Have you lost consciousness in the past 12 months?

Yes No

Have you ever been diagnosed with another medical condition other than a heart condition?

Yes No

Are you currently taking any prescribed medication?

Yes No

Do you suffer from any bone or joint issues which could be made worse by physical activity?

Yes No

Almost there...

Just a couple more loose ends to see to before I get working on your personalized 3-month training plan!

Are there other comments or information you would like to share which could help with creating your personal plan?

Please read the following medical disclaimer statement

"I understand that the personal training plan that I will receive is based on the answers within this form and that this training plan is meant as a guide only.

I understand that the content of the plan I will receive is not medical advice and that I should consult a physician before adopting any significant changes to my exercise, nutrition, or lifestyle regime."

I have read and agree to the above

That's it! Just hit the button below and I'll get on with creating a bespoke 3-month training plan for you!

Got it...
Nice Work!

Your form has been submitted – I hope that wasn’t too many questions!

I aim to have your plan ready within 3 working days

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THE BODYWEIGHT WORKOUT TRAINING PROGRAM

VIP PACAKGE: ASSESSMENT FORM

Welcome!

Completing the Form

Questions?

Personal Information

Current Fitness Level Assessment

Goal Setting

Important Medical Questions

Almost there...

Questions?

Got it... Nice Work!

Nice.

The workout is on the way to you.

Check your spam folder

Nice.

The workout is on the way to you.

Check your spam folder

You might also like to:

Join our Bodyweight Workout Facebook Group

Start Training Today: An Incredible Bodyweight Workout

Got it...
Nice Work!

Start Training Today:
An Incredible
Bodyweight Workout