Champion Trainers - Eric Thomas - Certified Personal Fitness Trainer - Houston Texas (TX)    
   PERSONAL TRAINING TO ACHIEVE YOUR HEALTH & FITNESS GOALS

Weight Loss Questionnaire

Tell us about yourself

Who are you?  

Adult
Parent
Student

 

Amateur Athlete
Professional Athlete
Coach

         
What are you interested in achieving?   Weight Loss
Body Detox
Live Better/Longer
  Current Condition
Good Fair Poor

 
         
Do you have any health issues or injuries (current or past)?   Yes (if Yes list below)
No
 

Describe reason your training
(include any health issues)

 

Favorite Foods
What you eat most frequently
Cheat foods, Candy & Snacks

 

Favorite Drinks / Beverages

 
         
Contact Information (*required)

First Name*  
Last Name*  
City  
State  
Phone Number*  
Email Address*  
         


Champion Trainers  |  Houston, Texas  | info@champion-trainers.com | Phone 713.320.6672