GOAL ASSESSMENT PROFILE
Answer each question by printing the necessary information. Your answers are confidential.

Name: _______________________________________ Date of Birth: _____________ Age:_______
Address : _____________________________________________________________________
City, State, Zip: ___________________________________________________________________
Home Phone: ________________________________ Work Phone:__________________________

1. What types of exercise do you like? Running? Swimming? Cycling? Aerobics? Weights? Other?
2. What types of exercise do you dislike?
   
3. In general terms, what would you like to accomplish in the area of fitness?
4. Do you have specific fitness goals (e.g. 5K race time, lose 10 pounds, make the volleyball team, etc.)
5. Why is it important to you?
6. What sports are you good at? Have you been on a sports team? What level (high school, college, professional)?
7. Do you need a nutritional program?
8. What foods do you like? What foods do you avoid? Are you vegetarian? Do you have food allergies?
9. Do you need an independent exercise program planned for every day?
10. Are you interested in working out with other clients?
11. Do you have workout equipment in your home? What kind? Do you like to work out at home?
12. Do you belong to a gym? Does it have a pool? Can you bring a trainer with you?