Client Strategy Session

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Birthday*
Date Format: MM slash DD slash YYYY
Assessment Date*
Date Format: MM slash DD slash YYYY
How did you hear about PT Strength?*
How do you feel right now? (1-10 scale)*
Does anything hurt?
List all surgeries you have undergone along with the date and reason.
What medications are you taking, if you are taking any?
List any major illnesses you have battled or are currently battling.
List any physical limitations you have.
What are your athletic hobbies?
What spectator sports do you enjoy?
Height*
Weight
Chest
Waist
Hips
Waist-Hip Ratio
Divide your waist measurement by your hip measurement. For women, anything less than 0.8 is considered healthy. For men, anything less than 0.9 is considered healthy.
Body Mass Index
What are your training goals?
Emergency Contact Name
First Last
Emergency Contact Relationship
Emergency Contact Phone
Emergency Contact Email
List your availability to train during the week.