QUESTIONNAIRE – THE BURN Spam protection, skip this field Name Gender Male Female Your Age Email Address Height Current Weight Location Your Fitness Level Just Started Beginner Intermediate Advanced What is your ultimate goal for implementing a fitness program with me? What type of fitness training are you doing now or have you done in the past? Do you have any injury or have had injuries in the past? Do you have access to a gym? : Yes No Where would you prefer to train If you're working out from your home or home gym, please give me a list of all the equipment you have access to How many times/week are you prepared to train? Are you presently taking any form of medication? Do you suffer severe back pains or other orthopedic problems? Are you open to trying new methods, even if they part from what's conventional and may initially conflict with current habits you may have? Yes No What you would like to achieve from our time working together? Do you have medical clearance from a doctor to participate in an Exercise program? (I strongly recommend obtaining a medical clearance from a doctor or appropriate health professional prior to beginning my programs.) How did you hear about TrainWithNair? Since how long have you been following us on Instagram?