Personal Training With Gaz O'Hardy

Full Name*

First NameLast Name

Email

example@example.com

Gender

MaleFemale

Date of Birth*

MonthDayYear

Age

years

Height

cm

Weight

kg

Body Fat % (if known)

Type N/A if not known

What do you do for a living?

What's the activity level at your job?

None(seated only)Moderate (light activity such as walking)High (heavy labor, very active)

What's your standard work schedule?

How often do you travel?

RarelyA few times a yearA few times a monthWeekly

Please list the physical activities that you participate in outside of the gym and outside of work.:

If you have any medical conditions or current injuries.

If you are on any medication, please list them.

Are you experiencing any stresses or motivational problems?

YesNo

Do you smoke?

YesNo

Do you drink alcohol?

YesNo

if yes please list:

Your current diet could be best characterized as:

Please rate your readiness for change.

What are your goals?

What is your goal with your training?

Why?

How many days can you train per week?

Time line for achieving goal

4-8 weeks8 -16 weeks6 months1 year +

Please rate your motivational level to do what it takes for reach your goal.

Are you currently exercising regulary (at least 3x per week)?

YesNo

Have you trained with a personal trainer before?

YesNo

If yes what kind of training did you do:

At what times during the day would you prefer to train?

MorningMid-DayAfternoonEvening

How often do you want to do Personal Training a week? (Not applicable for online coaching)

Please Choose

What are your expectations of me as your Personal Trainer?

How do you prefer to be trained?

Soft & gentle approachFirm but fair approachHard & motivational approachMilitant style approach (Not for the weak hearted)

Do you want personal training or online coaching?

Personal training (in person)Personal training (video call)1-2-1Oniline coachingGAZFIT 360 Plan

PT Single session (1hr)

£165

PT 10 Pack (10hr)

£1200

Online Options

1-2-1 Online coaching £149 per monthGAZFIT 360 Plan £99 per month

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. HEALTH AND SAFETY WAIVER The client acknowledges that participation in physical exercise and training activities involves a risk of injury. The client agrees to release and discharge [Your Name or Business Name] from any and all claims or causes of action (known or unknown) arising out of the negligence of [Your Name or Business Name], its employees, or agents, including any damages arising from personal injuries sustained while on the premises or under the supervision of [Your Name or Business Name]. The client agrees to voluntarily waive any claim that they may have against [Your Name or Business Name] for injury or damages that they may sustain as a result of participating in the program.

4. PAYMENT POLICY FOR MONTHLY PLANS All monthly plans must be paid for upfront at the beginning of each billing cycle. Failure to make payment will result in the suspension of services until payment is received.

5. 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.

6. ONLINE TRAINING POLICIES

Clients participating in online training must ensure they have a safe space to exercise and are using equipment properly to avoid injury.
Clients are responsible for informing the trainer of any changes in their health status.
Regular check-ins and feedback are required to adjust the training program as needed for safety and effectiveness.

I AGREE TO THE ABOVE TERMS & CONDITIONS!*

YesNo