Join the waiting list by filling the form

1
Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Date of Birth* This field is required.Example: 27/07/1980
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Please list your height (in cm's), weight (kg's) and body fat percentage (if known)* This field is required.Example: 162cm/65kg/20%
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Please answer yes or no* This field is required.
Yes
No
Do you have any health issues that are a current concern to you?
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Has a doctor stated you have high blood pressure?
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Have you been hospitalised recently?
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Do you lose balance because of dizziness or do you ever lose consciousness?
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Do you have a bone or joint problem (for example, back, knee or hip) that could be worsen by your physical activity?
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Are you on any prescription medication from your doctor?
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Do you know of any other reason why you should not do physical activity?
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Do you have any health issues that are a current concern to you?
Has a doctor stated you have high blood pressure?
Have you been hospitalised recently?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem (for example, back, knee or hip) that could be worsen by your physical activity?
Are you on any prescription medication from your doctor?
Do you know of any other reason why you should not do physical activity?
Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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Yes
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No
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If you answered yes to any of the previous question, please provide details
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Have you had any blood tests conducted in the past 6 months? Was there anything to be concerned about?* This field is required.If Yes, please elaborate
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Are you currently seeing any medical specialists atm? Please elaborate* This field is required.None/ Yes - comment
10
Are you pregnant or have given birth in the past 6 months?* This field is required.If selected Yes, please elaborate in text box
yes
no
11
Please list any muscular or joint injuries, aches, limitations or pains.Please list date of the incident, any treatment/rehabilitation and if the condition still persists.
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Have you followed an exercise program before? Have you had a structured program with your workouts set out, rep schemes, rest, exercise order etc.
YESNO
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Have you tried to change your body composition in the past or improve strength? Please provide details
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List your goals and give a brief description of what they mean to you* This field is required.Example. I would like to lose 2kg and take down a clothing size
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What are you realistically prepared to do in order to achieve these goals?
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What's are the main 3 obstacles currently in your way?* This field is required.
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Please list your top 3 greatest values* This field is required.For example: family, career, health, travel etc
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If your health was one - why? If it wasn't - why not?
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Please rate on the scale truthfully (1=Poor to 10=Excellent)The lower the score would indicate you are suffering the most
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Overall energy levels
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Overall stress
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Mood
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Anxiety
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Fitness
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Overall energy levels
Overall stress
Mood
Anxiety
Fitness
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How many hours of sleep on average do you get per night
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You go to bed and wake up at the same time every day
YESNO
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What are the main contributors to your overall stress?Examples. job commitments, sleep quality, diet, family commitments etc.
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What is your occupation? What are the demands of your role physically and mentally?* This field is required.
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How much time and what activities do you do to relax?
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Select the preferences that apply
Tried it
Currently doing
No, open to trying
No interest in trying
Don't know
Paleo
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Vegetarian
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Vegan
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High Protein
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Intermitten Fasting
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Keto
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Macros
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Portion Control
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Paleo
Vegetarian
Vegan
High Protein
Intermitten Fasting
Keto
Macros
Portion Control
Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Don't know
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Tried it
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Currently doing
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No, open to trying
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No interest in trying
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Diet SnapshotPlease provide a description of a day's food and fluid from Meal 1 to Meal "x"
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Do you:
yes
no
Drink coffee daily
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Use Pre-workout/energy drink more than 1 x per week
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Drink alcohol more than once a week
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Smoke cigarettes
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Drink >2L water per day
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Drink soft drink regularly
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Drink coffee daily
Use Pre-workout/energy drink more than 1 x per week
Drink alcohol more than once a week
Smoke cigarettes
Drink >2L water per day
Drink soft drink regularly
yes
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no
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yes
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no
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yes
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no
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yes
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no
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yes
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no
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yes
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no
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Do you suffer from:
yes
no
Joint Pain
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Digestive Issues
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Lethargy
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Bloating
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Bad Menstrual Periods
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Joint Pain
Digestive Issues
Lethargy
Bloating
Bad Menstrual Periods
yes
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no
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yes
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no
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yes
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no
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yes
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yes
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Are you perfectionist?
YESNO
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Please answer the following truthfully
Confident
Somewhat Confident
Not Confident
Im prepared to track my food intake
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Im prepared to fill in my training plan
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Im prepared to send progress pictures as specified
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Im prepared to fill in my tracking sheet
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Im prepared to modify my diet
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Im prepared to modify my lifestyle habits
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Im prepared to track my food intake
Im prepared to fill in my training plan
Im prepared to send progress pictures as specified
Im prepared to fill in my tracking sheet
Im prepared to modify my diet
Im prepared to modify my lifestyle habits
Confident
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Somewhat Confident
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Not Confident
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Confident
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Somewhat Confident
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Not Confident
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Confident
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Somewhat Confident
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Not Confident
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Confident
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Somewhat Confident
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Not Confident
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Confident
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Somewhat Confident
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Not Confident
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Confident
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Somewhat Confident
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Not Confident
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Terms and Conditions* This field is required.Sunny trainer Saule Jones will make various efforts to minimise any potential risks. However, you must be aware that exercise has some potential side effects and risks. It is possible throughout the exercise assessment, training sessions or your program that you may experience abnormal blood pressure, irregular heart rhythm, dehydration, fainting and/or dizziness. It is also possible that you might seriously injure yourself from the use of exercise equipment, failure of exercise equipment, tripping or falling, or other hazards associated with equipment, moving around while exercising, and your surroundings. In very rare circumstances, it is possible that exercise can cause heart attack, stroke or death. It is extremely important that any physical or other symptoms that you experience whilst participating in the program are explained to staff, even if you feel that they might not be important. It is also important that you tell Sunny trainer any information you possess about your health status, or changes to your health during the course of your program, especially those that relate to heart problems including shortness of breath, Informed Consent and Release of Information for Participation in Exercise pain, pressure, tightness or heaviness in the chest, neck, back, jaw, calf area and/or arms. By telling your trainer this information you are minimising your risk or injury, complications and death. It is expected that you will tell Sunny trainer all medications you use, begin to use or cease using (including non-prescription) prior to participation in your initial or regular training sessions. It is also expected that any short term changes to your usual medication regime are reported to Sunny trainer (e.g. forgetting to take your medication one morning). I understand all of the information and instructions outlined in this informed consent, have had time to discuss any concerns with a health professional, and considering this, agree to participate in a Sunny Trainer's program at my own risk. I also agree to release and indemnify Sunny Trainer from or against any actions or claims arising from any injury, loss, damage or death caused to me. I also give permission for Sunny Trainer to use my image / name in the of the above promotional outlets listed. I hereby consent to voluntarily engage in the exercise program considering the above information. I understand what is expected of me and the risks and procedures associated with this program. After fully reading this document I voluntarily consent to participate in the exercise program.
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Consultation callPlease let me know when is the best time for you to have a call to discuss your answers
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