Health & Lifestyle Questionnaire

It helps me to tailor your training plan safely and effectively.

Complete this right after your PAR-Q to give me detailed health insights.

I ask about your lifestyle, medical history, and any current health concerns.

Absolutely, your information stays confidential and secure.

Yes, updating helps keep your program aligned with your progress.

The answers guide exercise choices, intensity, and recovery plans tailored for you.

Please complete this questionnaire to help me to tailor your training plan safely and effectively.

Full Name

Date of Birth

1. How many hours on average do you sleep each night?*

2. On a scale of 1 to 10 how do you rate your current stress levels?*

3. What experience do you have training in the gym? (This can include: classes, cardio and strength training)*

4. Do you have any hobbies? (If yes, what are they?)

5. What is your current occupation? and how many hours on average do you work each week?*

6. Over the past week, what has your daily fluid intake been like?*

7. Over the last week, what is your average daily step count?*

8. Are you currently taking any medications? (If yes, please list them and what they are for)*

9. Tell me about your diet typically at the weekends, what does your breakfast, dinner and tea look like? How often do you eat out/takeaway?*

10. Do you drink any alcohol? (If so, how much and how often?)