Fitness Assessment Questionnaire

Fitness Assessment Questionnaire — Form Fields

This healthcare template includes 8 fields. Assesses a client's current fitness level, goals, and lifestyle for personalized fitness planning. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Age (number, required)
• Current fitness level (dropdown selection, required) — options: Sedentary (little to no exercise), Lightly active (1–2 days/week), Moderately active (3–4 days/week), Very active (5+ days/week)
• Primary fitness goals (checkboxes, required) — options: Weight loss, Muscle gain, Improve endurance, Improve flexibility, General health maintenance
• Rate your current energy levels on a typical day (rating, required)
• Do you have any injuries or physical limitations? (multiple choice, required) — options: Yes, No
• Describe any injuries or limitations (long text, optional)
• What motivates you to achieve your fitness goals? (long text, optional)