Personal Training Questionnaire

A personal trainer helps get a person back on track and maintain a good work life balance. Hence personal training questionnaire is needed to find out how various responsibilities affect a person’s life and in what way the person is responding to them.

Personal Training Questionnaire Sample:

Name:                       ____________________

Address:            ____________________

Phone Number:   ____________________

Email id:            ____________________

Gender:             ____________________

Q1. Choose the right option.

a)   I am an employee

b)   I am a housewife

c)   I am a self-employed person

d)   I am a student

e)   I am searching for a job

f)    I am doing a part-time job

g)   Other ______________________________________

Q2. How many hours do you spend in front of the computer?

_________________________________

Q3. What is the level of stress due to work? 1 = least, 5 = highest

a)   1

b)   2

c)   3

d)   4

e)   5

Q4. What is the level of stress due to personal relationships? 1 = least, 5 = highest

a)   1

b)   2

c)   3

d)   4

e)   5

Q5. What is your marital status?

a)   Married

b)   Single

c)   Divorced

d)   Widowed

Q6. Tick the option that is applicable to you

a)   Blood pressure: High ____  Low ____ None ____

b)   Diabetes: Yes ____ No ____

c)   Back pain: Yes ____ No ____

d)   Depression: Yes ____ No ____

e)   Insomnia: Yes ____ No ____

f)    Other __________________________

Q7. Tick the option that is applicable to you

a)   Smoking: Yes ____ No ____

b)   Drinking: Yes ____ No ____

c)   Drugs: Yes ____ No ____

Q8. How many hours do you exercise daily?

______________________________________

Q9. Tick the right one

a)   Yoga: Yes ____ No ____

b)   Meditation: Yes ____ No ____

c)   Walking: Yes ____ No ____

d)   Jogging: Yes ____ No ____

e)   Gym: Yes ____ No ____

Q10. Fill in the blank:

Height: __________

Weight: __________