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* 1. Contact information

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* 2. Do you have a bone, joint or any other health problem that causes you pain or limitations that must be addressed when developing an exercise program (i.e. diabetes, osteoporosis, high blood pressure, high cholesterol, arthritis, anorexia, bulimia, anemia, epilepsy, respiratory ailments, back problems, etc.)?

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* 3. What is your fitness goal? BE SPECIFIC (SMART goals)
S= Specific (Provide details, how long, how much etc.)
M= Measurable (How will you measure whether you’ve reached your goals)
A= Attainable (Be realistic, set smaller goals)
R= Rewards-Based (Attach a reward to each goal)
T= Time Frame (Set specific dates for goals)

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* 4. How often are you able to train?

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* 5. What equipment do you want to use? (Bodyweight, weights, both, etc)

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* 6. What is your current fitness level? *rough estimates

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* 7. Have you previously followed a workout routine? If so, what workouts did you enjoy? Are there any specific workouts you don't like?

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* 8. Do you understand that I am NOT a certified personal trainer/nutritionist and that my service is solely based on my experience and personal research?

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* 9. Anything else I should know or want to tell me?

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