Stag Fitness Consultation Form
  • Gender*
  • Format: (000) 000-0000.
  • Whats the activity level at your job?*
  • Are you experiencing any stresses or motivational problems?*
  • Has anyone of your immediate family developed heart disease before the age of 60?*
  • Do any diseases run in your family?*
  • Do you suffer from diabetes, asthma, high or low blood pressure?*
  • Are you a current smoker?*
  • Your current diet could be best characterized as:
  • Please rate your readiness for change. 1 being not ready at all and 10 being your 100% ready.*
  • What following goals does best fit in with your goals?*
  • Rows
  • Please rate your motivational level to do what it takes for reach your goal. 1 being no motivation at all and 10 being 100% motivated and good to go.*
  • Are you currently excersising regulary (at least 3x per week)?*
  • Have you trained with a personal trainer before?*
  • At what times during the day would you prefer to train?*

  •  

    Transformation To Do List :

     

    - Take and upload 3 pictures of yourself. One from the front, rear, and side (pictured)

    - Send through your weight

    - Measure your waist, below belly button, glutes, bust/chest, right arm, left arm, right leg, left leg (largest parts).

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    Measurements (inches) 

  • PLEASE READ THE FOLLOWING T&C's

     

    1.) CANCELLATIONS

    Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

     

    2.) LATE ARRIVALS

    Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

     

    3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

    All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

     

    4.) PHOTO

    Before and after pictures can be posted online to support the business.

     

    5.) REFUNDS

    No refunds are giving after the first session is complete (includes block bookings). Online coaching payments can not be refunded once plans are sent and received. After the first session, all sessions must be used up within 3 months. 

    6.) MEMBERSHIPS

    With this membership you are signing and agreeing to a minimum of 12 weeks personal training from the day you sign up to which can be paid in full or 4 weekly instalments by standing order, direct debit or cash. If clients do not use up all sessions or decide to put a stop to their sessions before all instalments have been paid, the remaining instalments must still be paid.

     

    7.) GROUP PT

    As this is a block booking, any sessions you miss you will not get back at another time. 

  • I AGREE TO THE ABOVE TERMS & CONDITIONS!*
  • Date*
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  • Should be Empty: