test - Kathleen Trotter

First Name *

Last Name *

Email *

Please consult with your doctor prior to starting an exercise program and prior to purchasing this program. *

By typing "I agree", I am signing this release. I am stating that I am in excellent physical health and that I am fully aware that there are risks associated with participating in physical activity. My participation is completely voluntary and I freely accept and fully assume all responsibility for all risks and all possibility of personal injury or death as a result of my participation in this exercise program.

Have you exercised before *

Often
Rarely
Never

If so what form has that exercise taken? (I.e. playing sports, going to a gym etc.) *

If you have gone to the gym what program have you followed? *

Have you ever used a personal trainer? *

Has a personal trainer ever created a detailed exercise program for you? *

If you have worked with a trainer please supply some details of that training: how many sessions, how long ago, at what level or intensity? *

Do you have any injuries that I should be aware of?

If you do have any injuries, have you ever had physiotherapy? *

If you have had physiotherapy please supply some details: How long ago did you do the therapy?

What exercises did they give you to do? Did they clear you for regular exercise?

Please list 5 fitness goals: *

How many hours do you dedicate to exercise each week? *

How many days a week can you plan to exercise? *

Please describe where you will be doing your exercise program and what kind equipment the location has (for example: home gym, condo gym, fitness centre etc). *

How would you describe your body type? (broad, long, stalky, thin, muscular etc) *

Where do you feel you hold your weight? *

If you have exercised in the past did you *

Feel like you bulked up quickly
Feel it was hard for you to put on muscle mass

Do you feel like you slouch when you stand? *

Do you feel like your head sits forward from the rest of your body? *

What is the best time to contact you by phone? *

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