Fitness Informed Consent

Program Objectives
I understand that my exercise program is individually tailored to meet the goals and objectives agreed upon by my personal trainer and me.

Description of the Exercise Program
I understand that my exercise program will involve participation in a number of types of fitness activities. These activities will vary depending upon the objectives that my personal trainer and I establish, but will probably include: aerobic,muscular endurance and strength activities as well as other activities selected by my personal trainer and agreed upon by me; and selected fitness assessments and body composition tests.

Description of potential risks
I understand that no exercise program is without inherent risks regardless of the care taken by my personal trainer and that my personal safety can not be guaranteed by my personal trainer. I realize that participating in any exercise program, particularly those that induce cardiovascular stress, there is a slight chance of serious injury (heart attacks, stroke, or other cardiovascular accidents) or catastrophic incident (ex: death, paralysis). Likewise, I know that engaging in muscular endurance, strength building and other fitness activities sometimes results in minor injuries (ex: bruises, musculoskeletal strains and sprains), less frequent, more serious injuries (ex: muscle tears, herniated disks, torn rotator cuffs) and rarely, catastrophic injury (ex: death, paralysis).

Description of potential benefits
I understand that a regular exercise program has been shown to have definite benefits to general health and well-being. I know that some of the benefits can include loss of weight, reduction of body fat, improvements of blood lipids, lowering of blood pressure, improvement of cardiovascular function, reduction in the risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility.

Participants Responsibilities
I understand that it is my responsibility to

1. Fully disclose any health issues or medications that are relevant to participation in a strenuous exercise program
2. Cease exercise and report promptly any unusual feelings (ex: chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program
3. Clear my participation with my physician

Participants Acknowledgements

• I acknowledge that my participation is completely voluntary.
• I understand the potential physical risks involved in the exercise program and I believe that the potential benefits outweigh those risks.
• I give consent to certain physical touching that may be necessary to ensure
proper technique and body alignment.
• I understand that achievement of health and fitness goals cannot be guaranteed.
• I have had a voice in planning and approving activities selected for my exercise program.
• I have been able to ask questions regarding any concerns I might have, and
have had those questions answered to my satisfaction.
• I am in good physical condition, have no impairment which might prevent my
participation in such activities, and have been advised to consult with a physician prior to beginning this program.
• I have been advised to cease activity immediately if I experience unusual
discomfort and feel I need to stop.

Nutrition/Life Coaching Informed Consent

A Nutrition Coach facilitates the process of behavior change and helps you move closer to your wellness vision by creating a personalized and strategic action plan. You can expect your coach to listen with curiosity and empathy, ask powerful questions and hold you accountable to your commitments. Through coaching you are empowered to initiate change and set personally motivating session goals to address a variety of concerns, such as stress, diet, exercise, nutrition, relationships or job satisfaction. Throughout the process, your coach will work beside you as a collaborative partner on your journey, helping draw out of you what you already know, believe, and desire.

Coaching services are not medical advice, nor do they replace services such as those provided by Registered Dietitians, Physical Therapists, Medical Doctors, Nurse
Practitioners, Chiropractors or any other health professional. Nutrition Coaching
services are a supplemental service to any of those health-related services you may
need to pursue. Life Coaching considers mind, body and spirit in terms of thoughts,
beliefs and behavior empowering you to make positive changes in your life to feel more fulfilled with your overall wellness. Life Coaching is not therapy and does not substitute for psychotherapy and may not be appropriate for everyone. If, after an initial assessment, I feel you may benefit from seeing a psychotherapist or other health practitioner, I will discuss with you and provide appropriate referrals. You acknowledge and agree that it is your responsibility to discuss your health and wellness information with your primary care provider as necessary.

Nutrition/Life Coaching is a collaborative process that requires active and invested
participation. To get the maximum benefit from coaching, you are encouraged to come to each coaching session prepared with a topic for discussion. Successful Coaching is largely dependent on your willingness to define and accept goals and try new approaches. You determine the goals and outcomes and you have the ultimate responsibility for the choices, plans, timing and actions you take.