Studio A Personal Training
LLC
Studio A Personal Training
LLC
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Just a few questions to better understand your current state of health and fitness level
What is your current level of activity? *
Never or rarely
1-2 days a week
3-5 days a week
Everyday
Do you currently perform cardio exercise? *
Yes
No
If yes, to what intensity?
Light (ex: Normal walking pace, leisurely bike ride)
Moderate (ex: Fast pace walking, light jogging)
Intense (ex: Running, HIIT, crossfit, speed cycling)
Do you currently perform any weight lifting or strength training? *
yes
no
If yes, to what intensity?
Light (Toning/body weight exercises, ex: crunches, leg lifts)
Moderate (Resistance bands, light hand weights ex: 1-10lbs)
Intense (Heavy weights, cables ex: 20-100lbs)
Do you have any chronic or acute health conditions? *
Yes
No
If yes, list all.
Do you have any exercise restrictions? *
Yes
No
If yes, list all.
Do you have any diet restrictions? *
Yes
No
If yes, list all.
Are you currently or have you ever been a smoker? *
Yes
No
If yes, do you plan on quitting? If prior, when did you quit?
Are you 18 years or age or older? *
Yes
No
What is your gender? *
Male
Female
Non-Binary
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Contact
Name *
Email address *
Message *
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Studio A Personal Training LLC
141 East Hwy. 72 Suite #8
Collierville, TN. 38017
