Client application form

DESTINATION Kfit

Client application form
Although this seems lengthy, this questionnaire gives me a great insight into your current habits around nutrition, training, your goals and your rediness to start or continue physical activity with me. This information allows me to provide you with programming thats individual to you and best in line with achieving your goals. All information is kept confidentially. Please have this form completed as soon as possible. (48hrs prior to your PT session for 1:1 coaching)
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Post codeCountry
Biological gender
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current weight (kg)
Height (cm)
Occupation
What are your current health and/or fitness goals or why are you seeking my services?
Do you have a time frame in which your wanting to achieve these goals?
Do you have a current gym membership? If yes which gym
Are you currently training or exercising If so how often what are you doing And how long (mins / day / week)
Do you have any health concerns or limitations that could affect your training or nutrition goals or medical Issues I should be aware of? Eg. disabilities, injuries, dietary requirements, allergies etc.
Are these goals yours or have you been advised Medically by your doctor or health practitioner.
On a scale of 1-10 with 10 being the most important. How important are achieving these goals to you?
Have you ever had programming or personal training services in the past? If so what and how long ago.
Are you pregnant or given birth in the last 6 months or currently breastfeeding if yes have you been given the all clear to start/resume training. Any further information on training instructions/restrictions please explain here.
Are you taking any supplements? if so which do you take?
Achieving your goals can often mean lifestyle changes and changes to habits. Are you coachable and open to change in order to achieve results?
Describe your current energy levels
FACE TO FACE PT & ONLINE PROGRAMMING

Please answer both training and nutrition questions, you can always add in either to various packages and this will provide me with information needed if you do choose to add in the future
FOR CLIENTS OPTING FACE TO FACE PERSONAL TRAINING: what day/s time/s are best suited to you. (If not already discussed)
Online programming and Personal Training packages include any extra self led days of programming (if you feel comfortable and confident to do so) How many days a week would you like to commit to train? (think about what would be achievable with your lifestyle)
What days best suit you for these extra programmed self led sessions? these can be altered to suit in the app if needed eg shift work.
What exercises/ training types do you enjoy? Eg: running, weight training, circuit, swimming etc.
What exercises do you dislike the most and why?
NUTRITION GUIDANCE
What does a typical day of eating look like for you?
Breakfast
Breakfast eg: 2 weetbix, full cream milk, honey, 2 coffees with milk and 2 sugar
Lunch
eg: sandwhich with chicken, lettuce & mayo, a banana, coffee, milk & 2 sugar
Dinner
eg anything from pasta to meat & chips, or take out.
Snacks
eg: fruit, packet chips, chocolate, muslie bars.
Dietary Issues / food dislikes
Have you dieted previously? What type of diet and what were your results? Eg. keto, intermittent fasting, shakes, weight watchers etc.
This service involves you tracking and weighing your nutrition, being honest and accountable with your intake. Are you willing to track your nutrition?
Have you had experience in tracking nutrition eg. counting calories, macros, or using apps such as my fitness pal to track your foods and drinks?
Have you had experience in tracking nutrition eg. counting calories, macros, or using apps such as my fitness pal to track your foods and drinks?
Are you currently tracking nutrition if YES, what calories or macro breakdown are you following?
In your ideal world, what weight would you describe your ideal weight?
If your goal is to compete in a competition (hyrox/crossfit/marathon/bodybuilding/powerlifting… etc) what category and date/s are you wanting to aim for?
What do you think has failed you in the past with nutrition and fitness goals?
This is a deep and often emotional question I want you to be as honest as you can Describe to me your feelings towards yourself?
How did you hear about my services

Please read the following policy's carefully.

Updated policy for Destination Kfit Jan 1 2024.
Weekly session payments

PT sessions will be charged similar to a weekly subscription via payment platform Newie. If you have commited to 1, 2 or 3 PT sessions booked per week, you will be charged for those sessions every week, regardless of attendance.
Session cancellations or no show

If you cannot make a session for whatever reason & you provide more than 24hrs notice, you will have the option to move the session to another day in the same week or the following week - only. It will be your responsibility to contact me to book in the make up session. If you provide less than 24hrs notice of cancellation or you "forget" or don't show up, the session will be forfeited. If you are running late, please let me know! I have allocated times for client sessions, and sessions will finish on time regardless if you arrive late.
Please keep in mind that this policy is also aimed at keeping you CONSISTENT! Doing 1 session per fortnight will not help you reach your goals! This is a similar policy to what some PT’s are implementing and it is working well. I realise that this may not suit everyone & I do apologise in advance. However, I feel I have been more than fair & reasonable when it comes to clients consistently cancelling sessions.
Sickness / injury

Sickness and injury does occur. Though in a lot of circumstances you can still train around injuries with modifications to programming unless told otherwise from your GP or medical practitioner. In extended circumstances (2 weeks or more) you wish to keep your session time available upon your return you will be charged a session holding fee of $41.67/week. In the instance where I am unwell or cancel you will be given the option to re-schedule your session, or cancel at no cost to you.
Holiday policy

We all deserve holidays, Though it’s ever so important to stay consistent with your training even when away from the gym your programming (we can modify it to suit) is always available to you through the online app, and I am available online for nutrition and technique support and nutrition checkins during both your and MY HOLIDAY times. Holidays/extended times away will be charged at the online pricing of $41.67/week for training/programming only and $67.53 for programming and nutrition. This will also secure your session time for when you come back and there is no excuse to why you cannot continue to complete your training and nutrition goals whilst either of us have time away to keep progressing to your goals. If you don't wish to have this online coaching service available you will risk losing your session time on return.
Todays Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
By signing this form I agree to have have declared honest and relevant information and agree to Destination Kfit's policy's.
Please verify that you are human
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DESTINATION Kfit

FACE TO FACE PT & ONLINE PROGRAMMING

NUTRITION GUIDANCE

What does a typical day of eating look like for you?

Adult Par-Q

Please read the following policy's carefully.

Weekly session payments

Session cancellations or no show

Sickness / injury

Holiday policy