Consultation Form What are your fitness goals? Appearance Cardiovascular endurance Flexibility Health Muscular definition Muscular size Muscular strength/power Self-esteem/confidence Sports Performance Street reduction Toning and shaping Weight loss Posture Other Please state: Rate your ability to perform cardio exercises Very low Fair Average Good Excellent Rate your experience with exercise Beginner Intermediate Advanced What equipment do you have access to? On which days are you available to work out? How frequently do you have time to exercise a week? Do you smoke? Yes No Any other comments about what you would like to see in your fitness plan? Thank you!