Fitness Program Client Questionnaire – Alignment Matters

🏋️ Fitness Program Questionnaire

Complete this assessment to generate your personalized program identifier

Version 2.5 – Sport-Specific Integration

📋 Confidentiality & Privacy Disclaimer

Your information is protected:

  • All personal information provided in this questionnaire is strictly confidential
  • Your data will not be shared, sold, or disclosed to any third parties
  • Information is used solely for generating your personalized fitness program
  • No identifying information is stored beyond this session
  • You may discontinue at any time without providing reason

⚠️ Release of Liability & Assumption of Risk

By completing this questionnaire and participating in any exercise program, you acknowledge:

  • Voluntary Participation: Exercise participation is entirely voluntary and at your own risk
  • Physical Risks: Exercise involves inherent risks including but not limited to: muscle soreness, injury, cardiovascular events, and in rare cases, death
  • Medical Clearance: You confirm you have obtained appropriate medical clearance or will consult a physician before beginning any exercise program, particularly if you have pre-existing medical conditions
  • Personal Responsibility: You are solely responsible for monitoring your physical condition, adhering to safe exercise practices, and ceasing activity if you experience pain, discomfort, or unusual symptoms
  • Release of Liability: You hereby release, waive, discharge, and hold harmless the program creators, trainers, and associated parties from any and all liability, claims, demands, or causes of action arising from participation in this program
  • Informed Decision: You have read this waiver, understand its contents, and voluntarily agree to its terms

1 Basic Information

Rate your tendency toward each body type on a 1-10 scale. Most people are a blend of types.

Naturally lean, narrow frame, difficulty gaining weight/muscle, fast metabolism

5 / 10
Not at all Somewhat Very much

Naturally muscular, athletic build, gains muscle easily, medium frame

5 / 10
Not at all Somewhat Very much

Wider frame, stores fat easily, slower metabolism, naturally strong

5 / 10
Not at all Somewhat Very much
Your profile: Ecto: 5 | Meso: 5 | Endo: 5

2 Training Goals

Rate each goal category on a scale of 1-10 based on its importance to you. 1 = Not important at all, 10 = Extremely important

Weight loss, fat reduction, muscle gain, body recomposition

5 / 10
Not Important Somewhat Important Extremely Important

Maximal force production, lift heavier weights, increase 1RM capacity

5 / 10
Not Important Somewhat Important Extremely Important

Cardiovascular fitness, stamina, aerobic capacity, work capacity

5 / 10
Not Important Somewhat Important Extremely Important

Explosive strength, speed, rate of force development, athleticism

5 / 10
Not Important Somewhat Important Extremely Important

Muscle size, aesthetic muscle development, visible muscle growth

5 / 10
Not Important Somewhat Important Extremely Important

Blood sugar control, insulin sensitivity, metabolic health, energy levels

5 / 10
Not Important Somewhat Important Extremely Important

Range of motion, movement quality, joint health, tissue extensibility

5 / 10
Not Important Somewhat Important Extremely Important
Goal Priority Summary:

2B Sport-Specific Training (Optional)

3 Training Experience

“Consistent” means 2+ sessions per week for at least 6 months per year

If you’ve taken a break from consistent training, how long has it been?

4 Movement Assessment

5 / 10
Needs Work Developing Competent Excellent
1-3: Significant issues – heels lift, knees collapse, cannot reach parallel
4-6: Developing – moderate lean, minimal knee valgus, can reach parallel
7-9: Competent – upright torso, balanced, full depth below parallel
10: Excellent – perfect mechanics, deep squat, effortless
5 / 10
Needs Work Developing Competent Excellent
1-3: Significant spinal rounding, squatting instead of hinging, back pain
4-6: Some rounding, hinge recognizable but inconsistent, limited ROM
7-9: Neutral spine maintained, good ROM to mid-shin, proper pattern
10: Perfect neutral spine, excellent ROM, textbook mechanics
5 / 10
Needs Work Developing Competent Excellent
1-3: Cannot perform from toes, significant sagging/piking, very limited ROM
4-6: Can perform from knees, some body line deviation, moderate ROM
7-9: 5+ from toes with good form, solid body line, full ROM
10: Perfect push-ups (10+ reps), rock-solid alignment, looks easy
Fitness Evaluation Score: 15 / 30

Sum of Squat + Hinge + Push-Up scores

5A Musculoskeletal Injuries & Pain

5B Medical Conditions

5C Medical History

Previous surgeries, medications, or balance concerns

6 Recovery Capacity

7 / 10
Poor (<6hrs) Fair (6-7hrs) Good (7-8hrs) Excellent (8+hrs)
7 / 10
High Stress Moderate Low Stress Minimal
7 / 10
Very High (Manual labor) Moderate Low (Desk job) Minimal
Recovery Capacity Score: 7 / 10

7 Schedule & Equipment

How much time can you dedicate per training session?

8 Program Type & Add-Ons

Choose the format that matches your goals

Optional module with personalized nutrition protocols

10 Movement Preferences (Optional)

What movements or training styles do you enjoy? (helps personalize your program)

Any exercises you want to exclude beyond injury limitations?

Your Program Identifier

Complete the questionnaire to generate your identifier