Questionnaire, Connor Moves

Let’s get started!

I’m so excited you’re interested in training with me and I’m looking forward to speaking with you. Before we do, we need you to fill out some preliminary info below to help us get started.

Once filled out I’ll look things over and you’ll be hearing from me soon!

I understand some of this information below is personal. I will not, under any circumstance use this information for anything other than your personalized program. If you’re still uncomfortable with giving this information out in an online form then feel free to email me and we’ll do this in person or over the phone.

Thanks!

From the Connor Williams

Information To Help Us Get Started

Name *

First

Last

Email *

Height *

Weight *

Age *

Biological Sex *

What are your primary goals that we'll be working towards? Any secondary goals? What are some other non-training related goals in your life? *

Why are these goals important to you? *

Are you interested in personal training in the Asheville area or online coaching? *

Personal Training
Online Coaching

What type of service(s) are you interested in? *

How did you find out about our services? *

Have you had any serious medical conditions in the past? Do you currently have any medical conditions? If so, please describe. *

Have you ever been diagnosed with an eating disorder? If an eating disorder was diagnosed, did you receive and complete treatment for it? *

Are you currently taking any medications? If so, please list them. *

Do you have any injuries, aches, pains, imbalances, orthopedic issues, or medical conditions that impact your training or daily activities? If so, please describe. *

Do you have any medical conditions that are related to nutrition or metabolism, or any medical conditions that affect the way you eat? *

If there's anything else you think I should know before we get started, please let me know! *

TO PROVIDE A DIGITAL SIGNATURE, PLEASE COPY AND PASTE THE FOLLOWING STATEMENT IN THE TEXT BOX BELOW AND TYPE YOUR NAME BELOW THE STATEMENT: I hereby acknowledge that I understand that any fitness-related information given by my coach is for educational purposes and is not medical necessity or mandatory prescription. By providing my electronic signature (E-Signing), I waive the right to legal action against Connor Williams, and I also acknowledge that there are health risks and adverse health effects associated with exercise, dietary alterations, and participation in strength or physique-related competitions. By E-signing, I waive liability of Connor Williams per undesired results and any injury/adverse health effects from any educational information provided and for any/all activities associated with Connor williams. I do hereby waive, release and forever discharge and hold harmless Connor Williams from any and all responsibility, liability, cost and expenses, including injuries or damages, resulting from my participation in any activities involving exercise, nutrition, or my personal health, or my use of any educational information or materials designed or provided by Connor Williams. *

By typing my name in the box below, I confirm that I am providing an electronic signature. In doing so, I acknowledge that I have read, understood, and accepted the terms listed above. I have not been coerced into entering into this release agreement; I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. Finally, I confirm that the information I have provided in this application is true and accurate, to the best of my knowledge. *

I agree

Electronic Signature (type name) *

Date *

Name