785-623-5900 | Submit an Email 2500 Canterbury Drive Hays, KS 67601 | Directions
An individualized resistance training program, built-in progressive variance to assure continued results, complete with pictures and descriptions of each exercise.
• Complete flexibility routine for each major muscle group including pictures and descriptions to improve joint range of motion and assure safety. • Cardiovascular training recommendations and guidelines built to meet your needs. • A 1-on-1 appointment with your personal trainer for individual exercise description and demonstration to assure proper technique and safety. • Continued support and assistance from your personal trainer to increase motivation and improve results
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—Please choose an option—MaleFemaleI prefer not to disclose
1. On a regular basis, how many days a week do you devote to cardiovascular exercise, strength training, and/or flexibility? Please expand below.
Cardiovascular:
Strength:
Flexibility:
2. Which of the following cardiovascular exercises/machines have you used? (please check)
TreadmillUBEEllipticalRowerAerobicsStair StepperNu-Step (Seated)SwimmingRecumbent BikeSpinningWater AerobicsUpright BikeSports
3. Which of the following resistance training methods have you used?
Free WeightsWeight/Selectorized MachinesBodyweight Exercises
4. Have you participated in a structured exercise program in the past?
YesNo
If you answered YES, how long have you participated?
5. Do you have any physical limitations that might prevent you from doing resistance or cardiovascular training? (Please list any exercises or machines that aggravate existing conditions or those you prefer to avoid in your program) 6. How many days per week and how much time per session do you have to devote to resistance training? (Please check appropriate days per week and time per session) 1day/week2days/week3days/week4days/week5days/week6+days/week 20 min30 min40 min50 min60 min60+ min 7. How many days per week and how much time per session do you have to devote to cardiovascular training? (Please check appropriate days per week and time per session) 1day/week2days/week3days/week4days/week5days/week6+days/week 20 min30 min40 min50 min60 min60+ min 8. What benefits do you want to achieve from your exercise program? (Check all that apply) Weight LossDecrease Body FatImprove EnduranceImprove BalanceLower CholesterolSport PerformanceImprove FlexibilityBlood PressureDecrease MedicationsImprove Muscle ToneImprove Self-EsteemIncrease Motivation to ExerciseImprove Athletic PerformanceIncrease Muscle StrengthIncrease Muscle SizeReduce StressOther 9. Are there any specific areas you would like to target in your workout? 10. If you like to work with a specific personal trainer for your 8-week program please put their name here? 11. Additional Comments:
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