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Personal Workout Plan
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Name
*
First
Last
Phone
Email
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Age
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Choice 77
Height
*
many steps a
Weight
*
Gender
Occupation
Goals & Preferences
What do you want to acheive ?
*
Fat Loss
Muscle Gain
Strength & Power
Endurance & Conditioning
General Fitness & Health
Other (Please specify)
Other Specifiy
How many days per week can you realistically train ?
*
2-3 Days
4-5 Days
6-7 Days
How long do you prefer your workouts to be ?
*
20-30 minutes
30-40 minutes
40-60 minutes
60+ minutes
Do you prefer bodyweight exercises, weight, or a mix ?
*
Bodyweight
Weights
Mix of both
Training Experience & Knowledge
How would you rate your experience with training ?
*
Beginner (new to structured workouts)
Intermediate (some experience, familiar with exercises)
Advanced (experienced, confident with most exercises)
Have you followed a workout plan before
*
Yes
No
If yes what did you like / dislike ?
*
Are there any exercises you particulary enjoy or want included ?
*
Are there any exercises you dislike or want to avoid ?
*
Equipment & Gym access
Do you have access to a gym ?
*
Yes
No
If no, what equipment do you have at home ? (Select all that apply)
Dumbbells
Kettle Bells
Barbells & plates
Resistance Bands
Pull-up Bar
Bench
Squat Rack
Cardio Machines (e.g. treadmill, bike)
Other (Please specifiy)
Other equipment, please specifiy below
Injury History & Limitations
Do you have any past or current injuries ? (if yes please explain)
*
Do you have medical conditions that might affect training ?
*
Do you have mobility or flexibility limitations ?
*
Recovery & Lifestyle
How many hours sleep to do you get on average ?
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3
4
5
6
7
8
9 or more
How would you describe your stress levels ?
*
Low
Moderate
High
How would you rate your daily energy level ?
*
Low
Moderate
High
How many steps do you walk per day on average ?
*
Under 5000
5,000 - 10,000
Over 10,000
Nutrition & Diet
Do you have any dietary restructions or preferences ?
*
How many meals / snacks do you typically eat per day ?
*
Are you currently tracking your calories or macros ?
*
Yes
No
Additional Information
Is there anything else i should know to make your plan as effective as possible ?
Payment
Single Item
*
Price:
£89.00
Total
£0.00
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Stripe Credit Card
*
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Niall Hesson
Personal Trainer
Niall
Drop me a line to find out more details
Let's Talk!
