Personal Training Consultation Form

Personal Training New Client Form

Please fill in all the details and I look forward to getting started!
Full Name

First NameLast Name
Gender
Date of Birth

MonthDayYear
Age
Years Old
Height
Feet, Inches
Weight
Lbs
Phone Number

Area CodePhone Number
Email
How do you prefer to be contacted?
Where do you work? (If none, N/A)
Whats the activity level at your job?
Do you follow a regular working schedule, do you work days, afternoon, or nights?
Please list the physical activities that you participate in outside of the gym and outside of work.:
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
If you have any injuries, please list them.
Are you experiencing any stresses or motivational problems?
Do you suffer from diabetes, asthma, high or low blood pressure?
if yes please list:
Are you a current cigarette smoker?
Please rate your readiness for change.
What following goals does best fit in with your goals?
What is your goal with your training?
Why?

TImeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

Are you currently excercising?
At what times during the day would you prefer to train?
How many training session a week do you want?
Please Choose
Is it okay to post photos and videos on social media of training and/or progress?
What are your expectations of me as your Personal Trainer?
1.) CANCELLATION POLICY: Cancellations must be made at least 24 hours in advance of a scheduled session. Sessions canceled less than 24 hours in advance will be charged in full price. 2.) LATE ARRIVALS: Each session is a duration of 1 hour & 30 minutes. 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!
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Personal Training New Client Form