Fitness Assessment Template & Personal Training Registration Packet (Page 5 of 7) in pdf

Fitness Assessment Template & Personal Training Registration Packet Page 5

7. Are you physically active in your daily routine?

8. About how much sleep do you get?

_______ Weekdays

_______ Weekends

9. What are your primary fitness goals?

10. What level of motivation do you have to change your exercise habits?

 High

 Moderate

 Low

11. Can you foresee any barriers that might interfere with reaching your goals?

12. Do you feel that you need to make any changes to your eating habits?

13. Do you feel that you can successfully make these changes in your diet?

14. What kind of time commitment are you (realistically) planning on dedicating to your fitness program

(days/weeks and minutes/session)?

15. What factors contribute to stress in your life and what do you do to manage your stress?

I understand that participating in the Springfield College Campus Recreation Personal Training Program is purely

voluntary and that neither the Division of Student Affairs nor Springfield College assumes the responsibility for

any injury sustained through my participation. I am aware of the risks inherent in participation of physical activity

and agree that it is my responsibility to determine whether or not I am physically fit to participate in this program.

I give permission for Springfield College to use my picture for marketing materials and publications.

Signature of Participant: __________________________________________Date: __________________

Fitness Assessment Template & Personal Training Registration Packet Page 5