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Pure Austin Initial Assesment

Pure Austin Initial Assesment

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Published by Wes Geary
Pure Austin Initial Assesment
Pure Austin Initial Assesment

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Published by: Wes Geary on Sep 13, 2013
Copyright:Attribution Non-commercial

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12/15/2015

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Client Information

Name: __________________________ Date: ___________________
Phone Number: _____________________________________________
Weight (Date): ___________________________ Height: ____________
Body Fat Percentage (Date): ______________ Age: ________________
Have you ever had a personal trainer?
If yes, how was your experience? What kind of work did you do? Why are you no longer training with
them?
__________________________________________________________________________________
__________________________________________________________________________________
Are you nervous right now? ___________________________________________________________
What are you training for?
__________________________________________________________________________________
__________________________________________________________________________________
Do you have a specific goal and timeline you want to achieve your fitness goal?
__________________________________________________________________________________
__________________________________________________________________________________
What steps have you taken to prepare you to achieve that goal?
__________________________________________________________________________________
__________________________________________________________________________________


Medical History
How are you feeling today? (Energy, health, pain-free etc.)
__________________________________________________________________________________
__________________________________________________________________________________
Please list all diagnosed health conditions:
__________________________________________________________________________________
__________________________________________________________________________________
Are you currently taking any medications?
__________________________________________________________________________________
__________________________________________________________________________________
What injuries have you ever had/have now?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Is there anything in fitness/nutrition/health that you would like to know more about?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________





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