• Pre Exercise Questionnaire

  •  -
  • Gender
  • What’s 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 cigarette smoker?
  • Your current diet could be best characterized as:
  • Please rate your readiness for change.
  • What following goals does best fit in with your goals?
  • Rows
  • Are you currently excersising regulary (at least 3x per week)?
  • Have you trained with a personal trainer/coach before?
  • At what times during the day would you prefer to train?

  • ONLINE CLIENTS

    To continue providing the high-quality coaching you deserve and to cover the increasing costs, we will be adding an extra $15 per week for online coaching services that extend beyond 4 weeks of the training program. 

  • 1.) PAYMENTS

    Bank Transfer

    All coaching payments must be paid the weekend prior to the training week. Screenshot of the payment receipt must be sent to the coach - this confirms your booking.

    Cash

    All cash payments are to be made fully at the start of the week. If payment is not received a dishonour fee of $10 will be charged and future appointments may be cancelled.

    2.) CANCELLATIONS

    Clients must provide at least 24 hours notice to cancel a session without charge. Cancellations made between 12 and 24 hours before the session will incur a 50% fee, while cancellations with less than 12 hours notice will be charged the full session rate.

    3.) LATE ARRIVALS

    Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

    4.) 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!
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