Gender

Age

Height

Weight

How did you hear about Functional Elements?

What are your health and fitness goals (in order of importance)?

Describe your level of fitness:

Do you have any experience with strength/resistance training? If yes, please explain.

Describe your current exercise routine (type and frequency). If nothing currently, when was the last time you were on a regular exercise routine?

Do you have experience working with a personal trainer? If yes, please explain.

Do you have any chronic or acute injuries that inhibit any kind of movement or activity?

Any major surgeries in the past?

Are there any current exercise restrictions from your medical provider?

Are you currently taking any medications?

Do you plan on training at Functional Elements, another gym or home gym? If outside of Functional Elements, where and what type of equipment will be available?

What are the best days and times for you to train?

WELCOME TO FUNCTIONAL ELEMENTS

Welcome to our Functional Elements initial assessment questionnaire.