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A2Z Wellness
New Client Questionnaire Form

 
   
Client Name: Date:
 
 
1.Goals of Client:
 
 
2.Expectations of using a Trainer:
 
 
3.Type of Workout looking for:
 
 
4.Other current physical activity
 
 
5.Exercise History &/or Specific needs:
 
 
6. Lifestyle Information (job etc):
   
   
7. Past injuries / accidents:  
   
   
8.Medical Conditions & Medications:  
   
   
9. Support Network:  
   
   
10. Additional Notes (for Trainer or Client to fill in)  
   
   
   
   
   

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