B Fit Online Training

Online training is a cost effective way to reach your fitness goals under the guidance of a certified personal trainer.

12 weeks $150.00

During your 12 weeks of training virtually with B Fit, you will receive the following:

Questionnaire to create a baseline for your fitness plan
A call from Brandi to review your questionnaire and prepare your fitness plan
A personalized weekly fitness plan to help you towards your goal.
A weekly check in for the first month, bi weekly check in for the program duration to check on your progress and answer any questions you have.
Unlimited access to emailing Brandi with questions and exercise options.

Signup
Step 1 of 9

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About you
Name*
FirstLast
Address*
Street AddressCityStateZip Code
Phone*
Email*
Age*
Please enter a value between 12 and 99.
Weight (lbs)*
Please enter a value between 50 and 500.
Height (ft, in)*
Exercise History & Attitude
Rate your exercise level on a scale of 1 to 10 (1 indicating sedentary, 10 indicating very strenuous) for each age range through your present age:

15 - 20:

21 - 30:

31- 40:

41 - 50:

51 - 60:

60+:

List the sports or physical activities you participated in high school and/or college.
Have you had a bad experience with a physical activity program?
Yes
No
Explain
Do you have any negative feelings toward physical activity programs?
Yes
No
Explain
Have you had a bad experience with or negative feelings toward fitness testing and evaluation?
Yes
No
Explain
On a scale of 1 to 10 (1 being the lowest, and 10 being the highest) rate yourself in the following areas:

Present Athletic Ability:

Present Cardiovascular Capacity:

Present Muscular Capacity:

Present Flexibility Capacity:

When you exercise, how important is completion?

Do you start exercise or fitness programs and then find yourself unable to stick with them?*
Yes
No
How many days a week are you willing/able to devote to an exercise program?*
Please enter a value between 0 and 7.
How much time can you devote to a workout?*
Are you currently involved in an exercise program?
Yes
No
Describe
How long have you been exercising regularly?
Describe the physical activity and frequency
List any exercise, sport or recreational activities that have you participated in, in the past 6 months
List any exercise, sport or recreational activities tha you have participated in, in the past 5 years
Are you able to exercise during your workday?
Yes
No
Rate each goal on a scale of 1 to 10 (1 being the least important, 10 being the most important):

Improve cardiovascular fitness:

Reshape or tone my body

Body-fat/weight loss

Improve performance for a specific sport/activity

Improve mood

Improve ability to cope with stress

Improve flexibility

Increase strength

Increase energy level

Feel better physically overall

Would you like to change your current weight?
Yes
No
How much would you like to lose (gain)?
Does your doctor know you’re beginning a new exercise program?
Yes & he/she approves
Yes & he/she does NOT approve
No
Why haven't you discussed with your doctor?
What reasons did he/she give for disapproval?
Are you taking any prescription OR over the counter medications or drugs?
Yes
No
Please list type & purpose
Could any of these medications cause a reaction while exercising?
Yes
No
Explain
A history of heart problems, chest pain or stroke?

A history of heart problems in your immediate family?

High blood pressure?

Surgery within the last 12 months? What kind?

Pregnancy (now or within last 3 months?)

Diabetes?

Thyroid condition?

Hernia or any condition aggravated by lifting weights?

History of breathing/lung problems, asthma?

Previous or chronic injury? (knee, shoulder, back)Where?

Do you smoke?

• Arthritis?

Cancer?

High cholesterol?

Anemia?

Obesity?
Are you currently under the care of a physician for any reason?
Yes
No
Explain
Do you know of any physical condition you have that could be aggravated by exercise or exertion?
Yes
No
Explain
For Women
Are you pregnant now or have you been in the last three months?
Have you experienced menopause or are you having symptoms of menopause?
The information I have given on this form is to the best of my knowledge, complete and accurate:
Name*
Date*
MM
DD
YYYY

B Fit Online Training

Step 1 of 9

About you

Exercise History & Attitude

For Women

The information I have given on this form is to the best of my knowledge, complete and accurate:

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