Personal Training

Full Name

First NameLast Name

Gender

Date of Birth

MonthDayYear

Height

cm

Weight

KG

What do you do for a living?

Whats the activity level at your job?

Do you follow a regular working schedule? Mornings / 9-5 / Afternoons / Evenings

How often do you travel?

Do you have any regular physical activities or strenuous hobbies?

Do you have any diagnosed health problems?

If you are on any medications, please list them.

If you have any injuries, please list them.

What additional therapies are being undertaken? eg: Chiro, Physio, Massage etc

Are you experiencing any stresses or motivational problems?

Do you suffer from diabetes, asthma, high or low blood pressure?

Please list:

Are you a current cigarette smoker or vaper?

Your current diet could be best characterized as:

What is your goal with your training?

Why?

What goal/s best fit with you?

How often are you willing to train a week to reach your goal?

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

What kind of training did you do?

Have you trained with a personal trainer before?

How often do you want to do Personal Training a week?

Please Choose

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

What are your expectations/needs on me as your Personal Trainer?

PT Package Options

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (+61 000 000 000).

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 50 minutes in length. Please arrive 10 minutes early to your session to adequately warm up as outlined in your program and pracited together during our first few sessions. 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.

I AGREE TO THE ABOVE TERMS & CONDITIONS!