Pre-Bootcamp Assessment Form

Personal Training Application Form

NATHAN FORD PERSONAL TRAINING
Client Information
Name

First NameLast Name
Age
Date of Birth

DayMonthYear
Date
Gender
Email
example@example.com
Phone Number

Home NumberMobile Number
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Occupation
Emergency Contact Person

First NameLast Name
Phone Number of Emergency Person

Home NumberMobile Number
Health-Related Questions
Are you currently taking part in any exercise program?
Do you have the following conditions?

Other
Are you a smoker?
Are you pregnant (Female only)?
Do you drink alcohol?
How many times do you currently exercise in a week?
Goals and Experience
Please describe any previous training experience you may have?
eg: gym, weights, bootcamps
Please describe any current/previous injuries that you may have/had? Please use as much detail as possible
eg: left knee surgery to fix ACL 3 years ago
What are your overall goals you want to achieve from these sessions?
Are you currently taking medications? If yes, what are the medications and for what purpose?
Preferences
Tell me what you enjoy during exercise
eg - classes, weights, boxing
Tell me what you DON'T particularly enjoy about exercising
eg - Running, Burpees
What are your goals in this program?

Other
Session Preferences
How many PT sesison per week would you like to book?
For what duration would you like for your PT session?
Would you be interested in block bookings to earn a discount on sessions?
What is your preffered method of payment?
Absolutely any additional questions or comments you have, then please fire them here
Client Signature
Date Signed

DayMonthYear
Date
Should be Empty:

Personal Training Application Form

Client Information

Health-Related Questions

Goals and Experience

Preferences

Session Preferences