Coaching Enquiry form

Full Name

First NameLast Name

Gender

MaleFemale

Date of Birth

MonthDayYear

Phone Number

Please enter a valid phone number.

Email

example@example.com

Age

years

Height

cm

Weight

KG

What do you do for a living?

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.

What additional therapies are being undertaken for the given health problem(s)?

If you have any injuries, please list them.

What additional therapies are being undertaken for the given injury?

Are you experiencing any stresses or motivational problems?

YesNo

Has anyone of your immediate family developed heart disease before the age of 60?

YesNo

Do any diseases run in your family?

YesNo

Whats the activity level at your job?

none(seated only)Moderate (light activity such as walking)High (heavy labour, very active)

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

YesNo

Please list:

Are you a current cigarette smoker?

YesNo

Your current diet could be best characterised as:

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.

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

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

Please rate your motivational level to do what it takes for reach your goal.

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

YesNo

Have you trained with a personal trainer before?

YesNo

What kind of training did you do?

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

MorningMid-DayAfternoonEvening

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

Please Choose

What are your expectations on me as your Personal Trainer?

@PTJAMESM Online Package Options

App and Training Programme only.Package A - This is an entry level to coaching, Tailored Nutrition, programming for workouts and weekly check ins. This does not cover WhatsApp support for the process.Package B - For more of an advanced approach to diet and training. Check ins we cover a more extensive check in form with a focus on your overall training performance as a priority.We cover a full physique break down and address how best to bring up weaker body parts and how to create more balance to your physique. You get 24/7 WhatsApp support for Q&A in relation to your nutrition and training. Video analysis on training as well is included.Package C - This is for the elite coaching clients. We cover your training with feedback weekly on training techniques and execution of exercises, this is for accountability and also to see what kind of intensity you train at and addressing form and function. 24/7 WhatsApp support Q and A on anything training nutrition and performance related and an explanation to why the process is done this way. Lastly your feedback is done with video for more of a personal feedback to your weekly progress

@PTJAMESM 1:2:1/Small Group PT Package Options

One to one PT sessions - In my one-to-one personal training sessions, I offer customised fitness coaching designed specifically for your goals and abilities. I will work closely with you to assess your current fitness level, develop a personalised workout plan, and provide direct guidance and support during each session. My approach focuses on helping you achieve your desired results through tailored exercises, real-time feedback, and continuous motivation, ensuring that every session is effective and aligned with your fitness journey.Small Group PT sessions - In my small group personal training sessions, I provide a supportive and motivating environment where you can work toward your fitness goals alongside others. Each session is designed to cater to the group's varied fitness levels, with personalised modifications and guidance to ensure everyone is challenged and engaged. You'll benefit from the camaraderie of a group setting while still receiving focused attention on your individual progress. My goal is to create a fun, dynamic, and effective workout experience that helps you achieve your fitness objectives in a collaborative atmosphere.

**Terms and Conditions for Personal Trainer-Client Agreement**

**1. Services Provided:**
The personal trainer will provide personalised fitness training sessions, guidance, and support based on the client's goals and fitness level. Training sessions may include in-person or virtual meetings.

**2. Payment Terms:**
The client agrees to pay for training sessions in advance. Payment must be received prior to the commencement of services. Package deals or subscription plans must be paid as per the agreed schedule.

**3. Cancellation and Rescheduling:**
Cancellations or rescheduling requests must be made at least 24 hours in advance. Cancellations made within 24 hours of the scheduled session will result in the full session fee being charged. The trainer will make reasonable efforts to reschedule within the same week if possible.

**4. Refunds:**
No refunds will be issued for unused sessions. In the event of a serious injury or illness, the trainer may, at their discretion, offer a refund or credit for future sessions.

**5. Liability:**
The client acknowledges that they are engaging in physical exercise at their own risk. The personal trainer is not liable for any injury, loss, or damage that may occur during training sessions. The client is responsible for informing the trainer of any health conditions or injuries that may affect their ability to participate.

**6. Confidentiality:**
All personal information, including health details and training progress, will be kept confidential and will not be shared without the client's consent.

**7. Termination:**
Either party may terminate this agreement at any time with written notice. Any unused sessions at the time of termination will be refunded according to the trainer's refund policy.

**8. Conduct:**
The client agrees to follow all instructions provided by the trainer during sessions and to maintain a respectful and professional attitude. The trainer reserves the right to terminate the agreement for misconduct or failure to comply with these terms.

**9. Amendments:**
These terms and conditions may be updated or amended by the trainer at any time. Clients will be notified of any significant changes.

I AGREE TO THE ABOVE TERMS & CONDITIONS!

YesNo