PRE-EXERCISE QUESTIONNAIRE

Pre-Exercise Questionnaire

🫶 Pre-Exercise Questionnaire

Friendly, confidence-building check-in to help us tailor a safe, simple plan.

🪪 Details

Full Name

Date

Phone

Email

🧍‍♂️ Background & History

Have you exercised in recent times? Have you exercised much over the years — including sport? If so, what are your favoured exercise choices? When was the last time you exercised with some regularity? Have there been any barriers or reasons you stopped (e.g., time, motivation, injury, confidence)?

🏋️‍♀️ Experience & Environment

Do you have any exercise equipment at home (e.g., weights, bike, treadmill, bands)? Are you familiar and/or comfortable with gyms?

Yes Somewhat No

Preferred training setting

Home Outdoors Gym No preference

Do you prefer solo activity or group sessions?

Solo Group Either

⚕️ Health & Safety

Are there any current or past injuries or medical issues I should know about? Have you had clearance from your doctor to start light-to-moderate exercise?

Yes No Not sure

Are you taking any medications that might affect your heart rate, balance, or energy? Do you own a smartwatch / fitness tracker (with heart monitor)?

Yes No

🕒 Lifestyle & Routine

What time of day do you feel most likely to exercise?

Morning Lunchtime Evening

Which days of the week typically suit you best (Mon–Sun)? How much time could you realistically allow for exercise (e.g., 20–45 mins)? Do you have access to a workplace or community fitness facility?

🎯 Motivation & Goals

Main reasons you want to start exercising again (e.g., weight, energy, strength, stress)? How would you describe your current confidence level about starting?

5/10

1 = nervous / not confident, 10 = ready to go What kind of support or guidance would help you most to stay consistent? What would “success” look like for you in the next 3–6 months?

Saved locally on this device only. For records, use “Save to PDF”.

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