The Gym

Resources

Fitness Questionnaire

Fill out and return this questionnaire to THE GYM for a free fitness evaluation and consultation.

1. How often do you work out?
Often ___ Some ___ Never ____

2. What type of goals do you have?
____ Loose weight ____ Gain weight
____ Tone up ____ Increase strength
____ Improve fitness ____ Better health
____ Look better ___ Increase energy
____ Cardio Improvement
____ Ideal weight ___ Other _____

3. How long have you been thinking about starting a fitness program?

4. What has kept you from getting started in the past?

5. Is that still a problem for you?

6. What activities would you like to participate in to reach your goals?
_____ Aerobics ____ Circuit training
____ Tanning _____ Cardio equipment
____ Free weights _____ Body sculpting
____ Stress reduction/yoga

7. Is your spouse in favor of your improving your health?

8. How much time are you willing to invest to reach your goals?

9. How often do you eat fast food?

10. Do you use tobacco products?
If so, how many per day?