Personal Details Please complete all fields below accurately and check your information before submitting. Any fields with an * are mandatory and must be filled out. I am looking forward to meet you in person and discuss more about your goal! Personal Training Questionnaire Step 1 of 7 14% Name* First Last Email Address* Enter Email Confirm Email Phone Number* Body StatisticsGender*MaleFemaleAge*Height*Weight* Dietary PreferencesGoal*Cut Down and Lose Fat (Male)Bulk Up and Gain Muscle (Male)Lose Fat and Tone Up (Female)Build Lean Muscle (Female)If you can't decide your fitness goal by yourself, you can upload a picture of your physique so I will decide your fitness goal. Drop files here or How many meals do you prefer to have in your diet plan?*I don't care. You decide for me3456Do you have any food allergies or any foods that you don't like?Please list all foods that you have allergies or you dislike or not available to you.Do you have any nutritional preferences? General or Vegetarian*GeneralVegetarianVeganDo you want supplements in your diet?*YesNo, I prefer homemade natural protein shakes.Not Sure, I will leave it up to you!Please write below any supplements that you currently using if any. Personal TrainingExperience Level*BeginnerIntermediateAdvancedHave you discussed and agreed with Xenios the days and times that you will be attending the sessions?*Yes, we didNo, we haven't yet Important Questions About Your HealthDo you suffer from back pain?*NoYesAre you sensitive to touch/pressure in any area?*NoYesDo you have tension, numbness or pain in a specific area?*NoYesDo you experience frequent headaches?*NoYesAre you pregnant?*NoYesHave you ever given birth?*NoYesDo you have high blood pressure?*NoYesDo you have high cholesterol?*NoYesHave you ever had surgery?*NoYesHave you ever broken any bones?*NoYesDo you experience stiff, swollen or painful joints?*NoYesDo you have difficulty sleeping?*NoYesDo you experience fatigue or lack of energy?*NoYesDo you experience cold hands or feet?*NoYesHave you ever been advised by a physician to avoid any type of exercise?*NoYesHave you ever been knocked unconscious or suffered a concussion?*NoYesDo you (or does someone in your family) have a cardiac condition?*NoYesAre you currently taking any medications (not nutrition supplements)?*NoYesDo you smoke or have you smoked in the past?*NoYesAre there any medical issues which have not been discussed on previous questions?*NoYes Important Rules That You Need To AcceptI agree to give 24 hours notice for cancellation of sessions. I understand that if 24 hours’ notice is not given, the fee for that session will still stand.*I acceptI don't acceptI understand that payment must be made in advance for all sessions purchased prior the first session. Failure to make payment will result in the cancellation of the personal training programme.*I acceptI don't acceptI understand that the results achieved from personal training are a combination of exercise, nutrition and my own personal genetics. Further, I recognise that my genetic makeup is out of my Personal Trainer’s control.*I acceptI don't acceptI understand that if I am late for more than 15 minutes for a session, the session time may be cut short and the full fee will still apply. If I am late more than 15 minutes, the trainer is allowed to automatically cancel the session without refund.*I acceptI don't acceptI understand that I am responsible for any missed sessions and the monthly payment remains the same.*I acceptI don't accept Feedback and Optional ServiceXenios runs a High-End Online Coaching and Mentoring for clients who travel a lot and can't commit to the one-to-one sessions. Would you be interested to know more about it?*YesNoWhere did you find me?*GoogleYoutubeFacebookInstagramMagazine/TVWord of mouthIf you found me from "Google". What did you search for?