Welcome to Fit For Life's Client Questionnaire!

At Fit For Life, we are dedicated to helping you achieve your fitness goals and lead a healthier, happier life. Please take a few moments to fill out this questionnaire so we can better understand your needs and tailor our services to best support you.

Client Questionnaire

Full name *

Date of birth *

Gender *

Male
Female

Weight (kg) *

Height (cm) *

Email *

Phone number

Occupation

Which of my services best suits you? *

Behaviour change package
Boxing performance
Pre-natal package
Post-natal package

Do you have a gym membership? *

Yes
No

On a scale of 1-10 how ready are you for change? (1 - not at all, 10 - i need to embrace change today) *

Have you or do you suffer from any health problems such as: heart problems, high blood pressure, asthma or respiratory problems, headaches, dizziness, fainting? *

Yes
No

If ‘Yes’ please expand. Give as much detail as possible.

Are you taking any medication? *

Yes
No

If ‘Yes’ please expand. Give as much detail as possible.