PIT Analysis

Name

Email

Phone

Gender

Age

Any past or present injuries?

Describe your current fitness program.

Have you worked out regularly in the past six months?

Yes

No

What are your goals?

List other goals you may have.

How long have you been thinking about these goals?

Greater than six months

Less than six months

Thinking back, when were you in the best shape of your life? How did that feel?

What factors have derailed your progress in the past?

What makes this time different?

What upcoming events in your life will help motivate you to reach your goals?

Is there anything specific that you would like to focus on during your workout?

Rate how serious you are about achieving your goals on a scale of 1-10. (10 being the most serious)

1

2

3

4

5

6

7

8

9

10

Rate your knowledge level in developing a plan to achieve your goals on a scale of 1-10. (10 being most knowledgeable)

1

2

3

4

5

6

7

8

9

10