Name

Age

Gender

• Male

• Female

Email

Phone number

Date of Assessment

1. Current Fitness Level

2. Do you have some health conditions or injuries?

If yes, please specify:

3. Do you have current exercise routine?

4. Fitness Goals

• Weight Loss

• Muscle Building/Strength

• Improve Endurance

• Increase Flexibility

• Improve Overall Health

1. Cardiovascular Health

• I can walk or jog for 20 minutes without feeling overly fatigued

• I can do moderate-intensity activities (e.g., brisk walking, cycling) for 30 minutes

• I struggle with cardiovascular activities

2. Strength & Endurance

• I can lift weights or do bodyweight exercises for 30 minutes

• I can do 10 or more push-ups, squats, or lunges in a row

• I find strength exercises challenging and need improvement

3. Flexibility & Mobility

• I can touch my toes or perform basic stretches

• I have moderate flexibility but find some stretches difficult

• I experience tightness or discomfort when stretching

4. Balance & Coordination

• I can perform balance exercises (e.g., standing on one leg) with ease

• I can perform balance exercises, but need improvement

• I struggle with balance and coordination

1. Motivation Level

2. Commitment to Goals

3. Preferred Training Style

• One-on-one personal training

• Small group training

• Virtual or online training

• Outdoor workouts

• Combination of the above

What areas would you like to focus on during your personal training sessions?

• Weight loss

• Strength training

• Cardiovascular fitness

• Flexibility and mobility

Rate your overall fitness level based on the assessment: