Client Questionnaire
This questionnaire is for our trainers to fine tune your workout program.
First Name*
Last name*
Emergency Contact Name*
Emergency Contact Number*
New Member or Visitor*
New Member
Visitor
Sparring
Other
Email*
Age
Today's Date*
Height*
Weight*
Whats your Instagram Username?
Have you ever boxed before?
Are you right handed or left handed?
What are your fitness goals?*
What are you interested in?
Classes
Small Group Sessions
Personal Training
Not Sure
Any health challenges? Please describe.*
Any injuries we should be aware of?*
Yes
No
If "yes" to injuries, please describe
Do you need support around eating habits?
How soon do you want to get started?
What days of the week are you available to train?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time of day best fits your schedule?
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Evening