Fitness Planning Consultants

Questionnaire – Athlete

If you are coming to see us for an athlete, please fill out this questionnaire at least 24 hours prior to your initial appointment with us.  

  • This field is for validation purposes and should be left unchanged.
    Our age requirement is 10 years old or older. If the athlete is not 10 or older, this will affect whether we continue on with the assessment and/or training.
  • Best number if we ever needed to text or talk.
  • Name of the school where athlete resides at.
  • This gives us an idea how old your athlete is. As a reminder, all athletes that will be doing an assessment or receiving workouts have to be 10 years or older.
  • List the name and the phone number of emergency contact.
  • If you don't have an Instagram ID, put "None".
  • If you don't have a Twitter ID, put "None".
  • Please list the sports that you play in order of most importance. Also after the sport in parentheses ( ) list the position you play in that sport.
  • Please list any club teams that you play on.
  • If you feel comfortable, please list all your coaches that you play for. Write the name down, the team, and email and/or phone number.
  • Any type of private coaching, group workouts, or other type of training you might have done in the past explain who you did it with and what it was here.
    If you have not done lifting before, just leave this blank. But, if you have lifted with weights, this gives us an idea what you have done.
    Please check all that apply. If FPC reached out to you through social media, please check the one that it applies to.
  • We need you to be as specific as possible. If you have dumbbells, list all the weights. If you have a medicine ball, how heavy. If you have free weights, what is the weight of the bar and what weights do you have. Jump rope, TRX, anything you have for workouts list it here.
    Check off as many medical issues that you have had or do have in the field below.
  • By submitting this form, everything you said was true and you indicate that you agree to the Terms of Use Agreement and have read and understand the Privacy Policy and Medical Disclaimer of the Fitness Planning Consultants, Inc. Fitness Planning Consultants, Inc. shall not be liable to the signee, nor any other person, for any claims or cause of action whatsoever arising out of or connected with the services of Fitness Planning Consultants, Inc.; and that I hereby release and discharge Fitness Planning Consultants, Inc. from any such claims or actions.