Get Started
You've taken the first step in achieving your health and fitness goals...

In order for us to have a better understanding of what type of program you are looking for, and to help us better serve you, please complete the following 3-minute 50 Point Health Questionnaire below.

Submit your completed form and we will contact you by phone or e-mail within the next 24 hours to set up your Complementary Fitness Consultation!

Health Questionnaire
Please note that all fields followed by an asterisk must be filled in.
First Name*
E-mail Address*
Street Address
City
Country
Home Phone*
Date of Birth
Gender
Height
Weight
Optimal Exercise Time
Occupation
Optimal Time to Excersise
How Did You Hear About Us?*
Questions?
Please check the box to the left of the condition if you have any of the following:
Heart Disease
Pulmonary Disease
Metabolic Disease
Family History of Heart Disease
High Blood Pressure
High Cholesterol
Are you over 69 and not used to being active?
Is your physician prescribing medication for a blood pressure or heart condition?
Has a physician ever told you that you have a bone or joint problem that will worsen with exercise?
Smoking
Sedentary Lifestyle
Chest Pain
Dizziness
Shortness of Breath
Irregular/Accelerated Heart Rate
Osteoporosis
Arthritis/Joint Pain
Back Pain/Spine Disorder
Musculoskeletal Pain/Injury
Hernia
Surgery
Other
Hypoglycemia
G.I. Disorder
High Triglycerides
Cancer
Pre/Postnatal
Anemia
Food Allergies
Do you know of any reason why you should not participate in physical activity?
How many days a week are you currently working out? (0-7X)
How long are your typical workouts? (i.e. 30 minutes weights/ 30 minutes cardio etc)
How many days a week would you realistically like to see yourself working out?
Describe Your Ideal Personal Trainer (personality, special interests, etc)
What are Your Fitness Goals (weight loss, definition, energy gain, etc)?
What are Your Interests (running, biking, swimming, etc)?
Why should you be chosen as a candidate to work with Victoria Boer Fitness?

Please enter the word that you see below.

  

 

 

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SUCCESS STORY

On 15/02/2011 these were my measurements.  Bust 44" Waist 34" Hip 44".  On 29/08/2011 these were my measurements. Bust 37"  Waist 30"  Hip 40".  My aim is Bust 36" Waist 28 and Hip 38. Mercy, London.   "Write Your Own Success Story"

“Victoria Boer, former Olympic Athlete, is now working with a select group of private clients in order to achieve their ideal bodies and health. Each West London Personal Training program is customized to the clients' specific goals and unique needs. This individualization leads to outstanding results and that is why Victoria has become one of the most sought after Hammersmith West London Personal Trainer."