TTMF Pre-Consultation Form

Pre-consultation Questionnaire

Please complete this as accurately & in as much detail as possible.

Name

Phone Number

Age

What is your height (cm)

What is your weight

What’s your occupation? How much do you move at work? Do you have any medical issues? Do you have any current / past injuries? Have you had a health check-up / assessment recently?

Training and non exercise activity

How many steps do you do a day? If you don’t track them, would you be willing to do so? Do you currently partake in any form of exercise? If so, what? Are you a member of another gym? Which one, and how often do you use it? Any exercises you particularly like or dislike? How many training sessions could you realistically do a week? (Both in and out of the gym)

Nutrition

Do you track what you eat? If no, would you be willing to do so? Do you have an idea of your average daily calorie intake? Have you purposely tried to lose body fat in the past? Was it successful? Why do you think this was the case? Do you take any supplements? Do you have any dietary requirements? How would you describe your eating habits?

Lifestyle & General

Do you smoke? If yes, how many times per day? Do you drink? If so, how many times per week? Does stress play a major part in your life? If so, please express details. How healthy do you feel out of 10? How would you rate your quality of sleep? How many hours of sleep do you get per night? Are you in a position to give your health and lifestyle the attention it requires to make progress? Any issues with digestion and/or headaches/migraines regularly? Are you Menopause or Pre-menopause? Do you typically breathe through the mouth or nose? When you breathe is it low and deep, or light and quick? Have you been diagnosed with ADHD / Autism? Do you suffer from any mental health conditions? Please give a general 24-hour typical Monday food diary. Please give a general 24-hour typical Saturday food diary. Do you have access to a smartphone for our programming?

Your current health markers (Don’t worry if these haven’t yet been tested)

Resting heart rate Blood pressure Cholesterol HbA1c Heart Rate Variability

Your Goals

What do you want to achieve in the 12 week transformation? What are your long term goals? (1–2 years) Do you have a particular outcome goal? Do you have a wedding or holiday in the near future? What are you looking to get out of us as coaches? Have you had a PT/Coach before? What was the experience like for you? We like to work with our clients’ personality type and behaviour. Do you like to achieve goals quickly or go slow and steady? (No right answer)

Final Part

What days and time would you prefer to train? Where did you find out about us? Any additional comments / queries which may be useful in your consultation I consent to being contacted about my enquiry.

Training and non exercise activity

Nutrition

Lifestyle & General

Your current health markers (Don’t worry if these haven’t yet been tested)

Your Goals

Final Part

Contact us

Still something we can help with? Please reach out through our contact form and someone will be back in touch shortly.

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