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Form template · Personal training

Personal training health questionnaire

A short health questionnaire. If you answer yes to any heart or chest question, we ask for a doctor’s note first. Chest pain, dizziness, fainting or short of breath during exercise? Stop and call emergency services.

Kind of form
Registration
Look
Dark
Questions
9
Required
7

Start the 14-day trial, then choose Personal training health questionnaire under Form templates. Every field, word and colour can be changed.

The Personal training health questionnaire template rendered as a live form, panel right layout: Before your first session.
How this form looks to a customer.

The same form, in 6 layouts

Same questions, same words. Pick the arrangement that suits the page it sits on; the layout can be changed later too.

The fields

9 questions. Keep it short: every field is something a person has to answer.

Fields in the Personal training health questionnaire template
QuestionTypeRequired
Full nameShort textYes
EmailEmailYes
Phone numberPhoneNo
Any injuries or conditions we should plan around?Long textYes
Date of birthDateYes
Has a doctor ever said you have a heart condition?No · YesMultiple choiceYes
Do you feel chest pain during activity?No · YesMultiple choiceYes
Do you lose balance or feel dizzy?No · YesMultiple choiceYes
Medicines you takeShort textNo

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