Merlino Fitness, Houston - Services: How To Start Your Fitness Training Program

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Start Your Program | New Client Questionnaire | Fitness & Nutrition Consultation

Fitness Sessions

| Fitness Assessment | Body Composition |

Workout Plans

Running Programs |

Metabolic Testing

| Seminars | Workshops

Shop Our Fitness Store

Shop our secure, on-line store for a great selection of fitness equipment, running and cycling gear and sports apparel.

Metabolic Testing
Merlino Fitness Studio
Available July 2008
Call Us @ 713-523-2577 To Book Your Test

Whether you are looking to loose weight or increase peformance, metabolic testing can help you reach your goals. Our resting metabolic rate tests rates your metabolism and gives you a gauge of how many calories per day that you need to maintain or lose weight. Our VO2 - anaerobic threshold tests let you know your true heart rate zones to get the most out of your fat burning ability while you do your cardio workouts. Runners and cyclists can also take their sport and racing to the next level by getting heart rate zones to help with realistic heart rate training goals. Check out the links below for more info about both tests and call us at 713-523-2577 if you have questions about testing and how it can benefit your fitness goals.

More Info

DeFeet Clearance Sale
Save 50% Off

Save 50% on the entire line of DeFeet sportwear while supplies last.

Inflatable Fitness Balls

Inflatable fitness balls and weighted balls from Harbinger and Theraband. Great for abdominal and core body strengthening.

Weighted Fitness Balls

A great alternative to traditional weights, these water-filled rubber balls are great for training core body.

Clif Shot Bloks

A great alternative to power bars and carb gels for runners, cyclists and endurance athletes. Available in variouos flavors. Some flavors include caffeine or added sodium. Purchase our Clif Blok sampler and try 4 of our most popular flavors.

Sugar-Free Protein
Sport Cookies

A quick high-protein snack with no sugar. Available in 5 delicious flavors: chocolate chip, trail mix, banana nut, peanut butter and lemon.

Harbinger Big Grip
Workout Gloves

Heavy duty gloves for the serious lifter. Available in wrist wrap and non wrist wrap styles.

Ultima Sports Drink

Sugar-free, low calorie sports drink with More elecrolytes than Gatorade. Hydrate well without all of the sugar. Great for long distance athletes, everyday exercisers, diabetics and children. Available in 4 great flavors: raspbery, orange, kiwi strawberry and banana berry.

Weight Training
Wrist Straps

Increase wrist support with our wide selection of weight lifting straps from Harbinger and Grizzly.

Nip Guards
Abrasion Prevention
For Runners

Protect from painful nipple abrasion. A must have product for male runners. Don't run your next long run or race without them.

Run Fast by
Hal Higdon

Whether you are a beginner road racer or shooting for a new personal best, this book does a great job of breaking down training schedules and drills to run smarter and prepare for race day.

More book reviews

Take the following steps below to start your fitness program.
Please fill out this form in its entirety. This does not commit you to anything other than expressing your interest and possibly setting up a time to meet for an initial consultation. This comprehensive questionnaire gives Merlino Fitness important information about your goals, fitness level, nutrition habits, medical history, and more. All information is kept confidential and helps Michael devise a plan for you before an initial meeting. Please allow about 10 minutes of your time and we will contact you as soon as possible. Thanks and we look forward to talking to you!

A fitness & nutrition consultation is recommended to discuss your goals and present a plan that will help you reach them. If you are interested in personal fitness training you decide on a program and mix of services that is within your budget and fits your schedule. I look forward to having the chance to work with you! Thanks for your interest in improving your life with personal fitness training. If you have any questions at all please call us in Houston at 713.523.2577 or drop us an e-mail at info@merlinofitness.com.

Thanks,
Michael Merlino, Certified Professional Fitness Trainer

STEP #1

Join any of our free fitness and nutrition newsletters
Enter your e-mail address in the "Join Newsletter" box and clicking on the "join" button at the top of any web page on our site. Receive free monthly updates of new web site features, articles, tips, products, and services and more. If you are a runner, sign up for the new Merlino Fitness Running Newsletter.

STEP #2

Check out our fitness services and fees
We have a wide variety of fitness and nutrition consulting services and personal fitness training packages available. Discounts are offered for purchasing training sessions in larger blocks. If you don't see a package that fits your needs or budget let us know. We can work with you to put a package together that fits your schedule and budget.

STEP #3

Fill out and submit our new client questionnaire below
This gives Michael the necessary information he needs to design your customized fitness plan and prepare for an initial consultation. Other forms such medical history, a physician's release and others forms may need to be submitted later based on each client's medical history and/or current fitness level.

Michael will contact you within 48 hours of receiving your new client questionnaire. We also ask that you contact us at 713.523.2577 to let us know that you've submitted your questionnaire.

Thanks again for your interest in Merlino Fitness, "Wellness pros helping you stay fit." TM

Date

First Name

Last Name

E-mail Address

Age

Sex

Address

City

State

Zip

Daytime or Work phone

Evening or Home phone

Pager

Cell phone

Fax

Best time to contact

Why are you filling out this questionnaire? Please check all reasons that apply.
I am a new Merlino Fitness client.
I just purchased fitness services from the Merlino Fitness online store.
I am interested in personal training or fitness consulting with Merlino Fitness.
Why are you looking for a personal fitness trainer or registered dietitian? Please check all that apply below, or use the box to enter any other reasons.
Fat or Weight Loss
Muscle Gain
Bored with workouts
Want to learn more about fitness and/or nutrition
Recommended by Physician, Physical Therapist, or other healthcare professional.
Sports-specific training
Other Training Reasons:

What is the best time to meet for a fitness & nutrition consultation?
Morning
Lunch
Evening
Weekend
Check which area of Houston , or the United States, you live in.
Inside Loop 610
Outside 610-West
Outside 610-East
Outside 610-North
Outside 610-South
Outside of the Greater Houston area
Check which area of Houston, or the united States, you work in.
Downtown Houston
Galleria
Medical Center
Greenway Plaza
Greenspoint
Clear Lake Nasa
Outside of the Greater Houston area

Please give a brief description of the health and fitness goals you are trying to achieve or improve .

ENERGY

How are your energy levels throughout the day?
Do you need more energy or stamina during your workouts?
Yes No
Do you get sleepy or lethargic after eating?
Yes No

NUTRITION

How many meals do you eat per day?
Do you skip meals? Yes No
If you skip meals, check which ones you skip on most days? Breakfast Lunch Dinner
What time do you eat breakfast?
What time do you eat lunch?
What time do you eat dinner?
Do you eat snacks? Yes No
If you eat snacks, check all snack times that apply?
Between breakfast & lunch Between lunch & dinner
Between dinner & bedtime Middle of the night
What do you normally eat prior to a workout?
What do you normally eat following a workout?
How many times per week do you eat fatty foods, fast foods, or fried foods?
Do you crave sweets or carbohydrates?
Yes No
How many servings of fruits and vegetables do you eat daily? A serving equals 1/2 cup of cooked or raw vegetables; 1 cup of leafy vegetables; 1/2 cup of fresh, frozen or cooked fruit or 1/4 cup of dried fruit.
How many cups of coffee, tea, soda, or other caffeinated beverages do you consume each day?
Are you over sensitive to caffeine?
Yes No
Are you lactose intolerant or allergic to any dairy products?
Yes No
Are you allergic to seafood?
Yes No
Are you allergic to soy products?
Yes No
List all other food allergies.
Are you currently dieting?
Yes No
Are you currently or have you ever taken any product to enhance weight loss?
Yes No
Do you have problems swallowing or taking pills or vitamins?
Yes No
Would you be interested in purchasing personalized, nutrition sessions or phone coaching from Registered Dietitian, Amy Carlson, to help you reach your nutritional goals?
Yes No

SUPPLEMENTATION

Do you currently take any over the counter vitamins or nutritional supplements? Yes No
Check those vitamins that you are currently taking: Multi-vitamin Vitamin C Antioxidants Essential Fatty Acids Calcium Iron Other
List any other vitamins or nutritional supplements that you are now taking below?
Are you currently taking a protein supplement (shakes or bars) to round out your diet?
Yes No
Are you currently taking any type of creatine supplement?
Yes No
Do you desire increased anti-oxidant protection?
Yes No
Would you be interested in a customized, daily vitamin supplement formulated specifically for your body type?
Yes No

DIGESTION

How is your digestion? Indicate the number of daily bowel movements.
Do you suffer from indigestion or have any gastro-intestinal problems?
Yes No

FITNESS

Are you currently participating in an exercise program?
Yes No
Do you currently have access to a gym facility or have an active membership with a health club?
Yes No
If yes, check the health club below or list it in the "other" box
Bally Total Fitness
24 Hour Fitness
YMCA
Other:
Please list three of the most convenient times for you to train in order of preference. Please make sure to mention am or pm next to each time.
How many times a week are you doing some type of cardiovascular fitness (walking, jogging, running, exercising)?
Check below the types of cardiovascular fitness you currently participate in.
Walking Jogging Running Treadmill
Elliptical training Stationary bike Recumbent bike
Bicycle Aerobics class Other
Are you currently weight training as a part of your exercise program?
Yes No
If you are weight training, indicate what type of equipment you are using.
None Free Weights Machines Other
What muscles fatigue quickly while weight training? Check all that apply.
Abdominals Hamstrings Quadriceps (thighs) Calves
Chest Neck Upper back Mid back
Low back Shoulders Biceps Triceps
What time do you exercise each day?
Where do you currently exercise?
Please list all sports you are currently participating in.
Do you currently suffer from any joint pain from a previous injury (tendon, ligament, cartilage, etc.) that prevents you from being as active as you would like?
Yes No
Do you have problems with muscle cramping during exercise or workouts?
Yes No
Do you wish to have faster recuperation following exercise?
Yes No
Is there any reason at all (health or personal) that would limit or prevent you from exercising?
Yes No
If you have exercise limitations, please list the reasons you cannot exercise below.
Would you be interested in purchasing personalized, fitness sessions or phone coaching from Certified Professional Fitness Trainer, Michael J. Merlino, to help you reach your fitness goals?
Yes No

REST

How many hours of sleep do you get on an average night?
What time do you generally go to bed?
What time do you generally wake up?
Do you suffer from insomnia or have trouble sleeping?
Yes No

GENERAL HEALTH

Height:

Current Weight:

Weight 1 year ago:

How much weight would you like to lose?
How much weight would you like to gain?
Do you consider yourself to have a high stress level?
Yes No
Is your total cholesterol greater than 200?
Do you suffer from weak bones and/or joints?
Yes No
Do you smoke? Yes No
If you smoke, how many packs per day?
Do you drink alcohol? Yes No
If you drink alcohol, how many drinks per week?

WOMEN'S HEALTH

Are you post-menopausal? Yes No
Do you suffer from hot flashes? Yes No
Are you pregnant or lactating? Yes No

MEDICAL INFORMATION

Do you have any of the following conditions? Check all that apply
Asthma Diabetes Hyper thyroid Hypo thyroid
High blood pressure Heart problems Coronary artery disease
Do you suffer from joint pain or any degenerative disease including osteoarthritis, osteoporosis, etc.?
Yes No
Do you suffer from fibromylagia or overall aches and pains?
Yes No
Do you or your children suffer from attention deficit disorder (ADD)?
Yes No
Do you suffer from anxiety?
Yes No
Do you ever feel faint or dizzy?
Yes No
Are you currently taking any prescribed medications? Yes No
Have you had surgery in the past year? Yes No

Thank you for filling out our questionnaire. We will call or e-mail you within 24-48 hours to set up an initial meeting or phone consultation. Merlino Fitness is a no spam zone and we truly respect your internet privacy. We DO NOT share your information with any other individuals, companies or web sites. All information included in this questionnaire is held strictly confidential.

By clicking on submit below, I certify that I am over the age of 18 and have read and fully understand the contents of the Merlino Fitness disclaimer and agree to its terms and conditions in full.

If I have a medical condition, and/or if I am currently taking prescribed medications, it is recommended that the use of nutritional supplements should be coordinated with my physician or a registered dietitian. Some nutritional supplements may interact with medical conditions or prescribed medications.

Thank you for your time!

Click "Send!" to send us your form or reset to start over.

Merlino Fitness • PMB 267 • 1302 Waugh Drive • Houston TX 77019 • 713.523.2577