HEALTH & Fitness STATUS 

HEALTH PART I. Personal Information
Name *
Name
Date *
Date
Todays Date
HEALTH PART II. Health Related Behaviour
Do you smoke? *
Do you drink alcohol regularly? *
1 Being never, 10 More
HEALTH PART III. Psychological
1 Disagree, 10 Agree
1 Horrible, 10 Great
1 Not very, 10 Extremely
HEALTH PART IV. Goals
Have your goals changed since the previous block? (i.e. lower blood pressure, weight loss, build muscle, etc.) *
Do you wish to achieve any of these goals in a specific time frame? *
FITNESS PART I. Fitness Information
Have you started any other form of physical activities other than the gym sessions? *
FITNESS PART II. Psychological
1 Horrible, 10 Great
1 Not Very, 10 Extremely
FITNESS PART III. Goals
Have your goals changed since the previous block (i.e. increase 10K time, bench press)? *
Do you wish to achieve these goals in a specific time frame? *
FITNESS PART IV. Training Preferences
1 Disagree, 10 Agree
1 Disagree, 10 Agree
FITNESS PART V. Questions