Personal Training Consultation Questionnaire & Prep

Basics
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
What is your overall fitness goal? Weight/fat loss, muscle gain, body recomposition, cardiovascular endurance, other?
Height
Inches
Weight
Lbs
Current Waist Measurement: Measure at small of the waist or belly button and please note for consistency in future measurement.
Current Hips Measurement: Stand to the side and find the biggest point or the "peak" of circumference.
Are you passionate about your goals? How hungry and important are your goals? On a scale from 1 - 10, please indicate importance.
Please attach three initial photos; front, side and back. See sample photos below, or take them now.

Browse Files

Cancelof
Take Photo Front
Take Photo Side
Take Photo Back

Workouts
Current workout schedule: It's ok if you don't currently have one
What do you enjoy doing for physical activity?
Have you engaged in a workout program that has been effective for you?
Lifestyle
Do you have a fitness tracker (Like a fitbit?) If so, on average, how many steps do you do daily?
How do you spend the majority of your day? (Example: sedentary office worker, teacher, stay at home mom, etc.)
How many hours of sleep do you get a night?
How many hours of work do you do a week?
What is your daily stress on a level of 1 - 10?
What are your current hobbies/interests?

Diet
Current Calories/Macros:
How long have you been following those and to what consistency?
Do you use a log such as My Fitness Pal (MFP)?
What rate have you been gaining or losing?
Recent and long-term dieting history?
Do you eat out at restraurants/fast food? How often?
Do you drink alcohol? Frequency and how much?
Do you have to consume alcohol in your plan?
What creates your desire for poor food choices? Binging, etc.
Current Supplements? Please include all vitamins, protein supplements, workout products such as BCAA's, etc.
Do you have any food allergies or dietary restrictions?

OTHER PERTINENT INFORMATION
When was your last up to date physical?
When was your last endocrine/horomone check-up?
Do you have any horomone issues I need to be aware of? Example: Low testosterone or estrogen?
Any medications, conditions, physical limitations, etc?
Tell me a fun fact (or two) about you...
All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice from my healthcare provider. I understand that all the information given will be kept confidential.*

YesNo
Signature*

Clear
Date

MonthDayYear
Date

Personal Training Prep

Equipment List, Video Training Tips & Mindset
Equipment List

This list of equipment is shown to give you examples of materials needed prior to starting training. You do not need to order these exact items, these are used as ideal examples. If helpful, the name of the item has a link to Amazon to order directly.

Please order them within 24 hours to ensure prompt delivery so that we can get started!

1. Resistance Bands

Resistance bands like these will be used for various exercises. They’re easy to use, versatile and can be taken on the go!

2. Weight Set

Pairs of weights including 5, 10, 15, 20, 25, and 30 lb dumbbells are our primary pieces of equipment used in training.

3. Gliders

Glider discs are used for a number of exercises on different surfaces.

4. Fabric Resistance Bands

Fabric resistance bands, sometimes called booty bands are another great and inexpensive tool to vary the way we train our muscle groups.

5. Stability Ball

A stability ball will be used at nearly all sessions to support a variety of exercises.

Please let your trainer know once all items have been ordered, and arrive!

Virtual Training Tips & Tricks
Here’s what to expect with virtual training.

It’s training day!!! 🙌🏻💪🏼

We have provided this video that is your warm up prior to session time. Open it below and save it. Start this video and be ready to rock at your exact scheduled session time.

Warm Up Video Link

You will receive a “warning text” from your trainer ~5 min prior to your session. It may look something like this.
- 5 min countdown 🙌🏻🥳
- Let’s get ready to rumble 😝
- Time to face the muscle music 😈💪🏼
- We try our best to not be boring. 💁🏼‍♀️
From here, you will receive a FaceTime call unless arranged with another app.

The call will come through at your exact time. If you should miss it, go to the text chain and up at the top hit the green “join” to enter the session.

Please make sure your whole body is in camera view and there is good lighting.

You will be instructed for body positioning and angles by your trainer. Your job is to make sure you have a stable placement for your viewing device for full view. You can practice this by simply placing your device and on selfie (toward you) view.

Still unsure how it’s gonna go? Your trainer will give you a dry run with your scheduled assessment so you’ll have no question or concern when it comes down to session time.

Make Space for a Positive Mindset

The average person has an estimated 70,000 thoughts per day! Take a
moment to think about the thoughts that run through your mind. Specifically about yourself.

Are they positive and uplifting? “Today is going to be an amazing day!”
Or negative and self-defeating? “I don’t have the energy to get through
today.” Are your relationships affected because of how you truly feel about yourself?

Positive thoughts boost your mood, spirit, and tend to generate even more positivity and happiness in your life. Conversely, negative thoughts can create a domino effect of destructive energy. Falling into a spiral of negativity tremendously affects how youlive your life and how others perceive you.

Thankfully, you don’t have to accept the negative internal chatter. CHOOSE to switch to a happier perception and reach for better thoughts. It takes a little practice, but soon enough, your mind will gravitate towards the brighter side of life. Practice cultivating a positive mindset with these tips.

I need you to understand this next statement:

Your success in this journey is up to you!

It’s a choice whether you succeed. I will absolutely provide you with accurate numbers, avenues, and all the support you need. This journey is not about numbers. It’s a mental reset.

How do you set yourself up for success?

LET GO OF:
- Negative self-talk. Bashing yourself on a daily basis takes a toll. When you hear the negative self-talk, say “cancel cancel,” followed by a positive comment to condition yourself to speak positively.
- Limiting beliefs. Replace beliefs that just aren’t serving you anymore and rework them into self-supporting goals.
- Distrusting your plan.
- Comparing yourself to others. While it’s easy to want what others have, comparing yourself is like discarding everything you’ve got going for you at this very moment. Using someone else as a benchmark is healthier than comparing yourself, so distinguish between comparison and admiring. Shoot for admiration.
- Resisting change. If you want different results, do something different. Make change small. There’s no need to create chaos in the name of change.
  The need to always be right. Would you rather be right, or would you rather be happy?
MAKE SPACE FOR:
- Gratitude. Even when you think you don’t have it all, focus on what you have today. Keep a gratitude journal and each day write down five thoughts you are grateful for.
- Walking with energy and purpose. Make a conscious effort to strut! Even when you’re feeling down and discouraged, stand tall and smile! Posture affects your mood; make it work in your favor.
- Surrounding yourself with like-minded, uplifting people. People who are vibrating on the same positive frequency will keep you grounded, inspired, and connected to your greater life’s purpose. They will help you believe in yourself, too.
- Reflection. Take time to reflect, meditate, or simply release all thoughts and emotions. Create stillness in a quiet space and get back to a neutral state of mind and body.
- Doing good for someone else. Focus your energy on lifting up someone else and notice how your spirits elevate as well.

Please sign below to confirm that you have read and understood the above equipment and training resources requirements.
Name

First NameLast Name
Signature

Clear

Personal Training Liability Waiver
I First Name* Last Name* hereby affirm that I am voluntarily starting a course of instruction in physical fitness and performance training (the activity). I am voluntarily participating in the activity entirely at my own risk.
In full consideration of the risk of injury while participating in the Activity, and for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Activity, which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.
I acknowledge that I have carefully read this form and fully understand that it is a release of liability for the lifetime of my working relationship with KD Elite Fitness. I expressly agree to release and discharge the trainer or instructor from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage.
Signature*

Clear
Date*

MonthDayYear
Date

Privacy Disclaimer
Privacy Disclaimer:

We value your trust and are committed to safeguarding the privacy and security of your personal information. This disclaimer outlines how we collect, use, and protect your data when you engage our services, including but not limited to personal training, nutrition and lifestyle coaching, as well as fitness and group services, including any content shared on social media platforms.

Data Collection and Usage:

Personal Information: We may collect personal information from you during the onboarding process and throughout our working relationship. This data could include your name, contact details, health history, fitness goals, and other relevant information.
By providing us with your personal information, you consent to its collection, use, and disclosure in accordance with this disclaimer, including any sharing on social media platforms as described below.

Social Media Sharing:

Content Sharing: We may share training progress, success stories, and related content on our official social media platforms, including but not limited to, Instagram, Facebook, and website.
Anonymity and Consent: When sharing content on social media, we will ensure that any personal information that could identify you (such as full names or contact details) is kept private unless we receive explicit consent from you. Content shared will be presented in an anonymous or pseudonymous manner to protect your privacy.
Opt-out: If you do not wish to have your progress or related content shared on our social media platforms, please let us know during the onboarding process or inform us at any time.

Data Protection:

Confidentiality: We treat all your personal information as confidential and will not share it with any third parties without your explicit consent, unless required by law. Please note that your information, including financial transactions is shared only as needed with KD Elite administrative staff and CPA.
Security: We employ reasonable security measures to protect your data from unauthorized access, disclosure, or alteration. However, please be aware that no method of data transmission over the internet or electronic storage is entirely secure.
Retention: We will retain your personal information for as long as necessary to fulfill the purposes outlined in this disclaimer or as required by law.

Client Responsibilities:

Accuracy: You are responsible for providing accurate and up-to-date personal information to ensure the effectiveness of your training programs.
Consent for Communication: By engaging our services, you consent to receive communication related to training appointments, updates, and promotional materials.
Opt-out: You have the right to opt-out of promotional communications at any time by contacting us.

Legal Disclaimer:

This privacy disclaimer does not extend to any third-party websites or platforms that may be linked on our website or referred to during our training sessions. We are not responsible for the privacy practices of these external entities. Please review their privacy policies before providing any personal information.

Changes to Privacy Disclaimer:

We may update this privacy disclaimer from time to time. Any changes will be posted on our website, and your continued use of our services after such modifications constitutes your acceptance of the updated disclaimer.

Contact Information:

If you have any questions or concerns about our privacy practices or wish to exercise your rights regarding your personal information, including social media sharing, please contact us at:

support@kdelitefitness.com

Conclusion:

By commencing our services, you acknowledge that you have read and understood the terms of this privacy disclaimer, including the provisions related to social media sharing, and agree to its terms. We are committed to maintaining the confidentiality and security of your personal information while providing you with the best possible training experience.
Signature

Clear
Date

MonthDayYear
Date

Payment and Billing
Billing for training is sent out through Square invoicing the week prior, and due upon receipt. Please select the billing frequency you would prefer.*

Every Two WeeksWeekly
Autopay options include credit card with an added 2.9% fee or ACH through checking/saving for no added fee. Please select the method of payment you would prefer.*

Credit Card (+2.9% fee)ACH Checking/Savings (no fee)
Training Start Date

MonthDayYear
Date
Number of Days/Week Training
Notifications and Opt Outs
We utilize emails for occasional program highlights, newsletters, recipes and sharing transformation stories too. If you would like to OPT OUT of email communications please check this box, otherwise we'll consider you in! 📧

I do NOT wish to receive emails.
We utilize text messages for session reminders and to make sure you have your personalized programming. If you would like to OPT OUT of text message reminders please check this box, otherwise we'll consider you in! 💬

I do NOT wish to receive text messages.

Cancellation or Reschedule
We would like to first acknowledge that our cancellation/rescheduling policy has been developed to not just protect our time, but yours.

By the time you make it to the screen, the majority of the work has been done starting the week before.

Just as important, we are addressing the mental set around your sessions. What does it take for any goal? Consistency! We truly know that as hard as it is to show up to every single session, it’s worth it. As you will soon see, the only regret is missing what will set the time of your day and life by showing up regardless of circumstance.

A hard push on a day you just don’t wanna. That alarm went off and that bed is so cozy. Yep!!! We know those voices are strong.

Guess what! Your trainer has put in the work and your goals big and small depend on it. This is how we hold you accountable.

You do have an option to get your workout in if you should have to miss.

Your option is a virtual session ‘to go.’ We call it the "Uber Eats" of training sessions. It’s the same thing, just delivered to you on your time instead of our scheduled session time.

You will get videos of the exercises performed with the session you missed as well as your specifics for the amount of weight you use, the amount of reps you have and a complete list of equipment needed. We have a lot of clients that love this method of training and so long as you are accountable to this session, it’s a great way to balance. Yes, we have our ways to hold you accountable with us as well.

With this, we require a minimum of 24 hrs to shift or cancel your session time.

If you have to move your session, we will do our best to accommodate where our schedules allow, or give you the option to train with one of our other KD Elite trainers or the virtual to-go session of videos.

No worries. We’re humans with big hearts and resources to adapt and make all the magic happen.

Thank you for your compliance in this.

Sincerely,

Team KD Elite
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Basics

Workouts

Lifestyle

Diet

OTHER PERTINENT INFORMATION

Personal Training Prep

Personal Training Liability Waiver

Privacy Disclaimer

Payment and Billing

Notifications and Opt Outs

Cancellation or Reschedule