Personal Training Consultation Form

Full Name

First NameLast Name

Gender

Date of Birth

MonthDayYear

Age

years

Town/City

Instagram Handle

Phone Number

Area CodePhone Number

Email

example@example.com

Height (CM)

Weight (KG)

How do you prefer to be contacted?

What is your Occupation?

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?

If yes please list:

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

If yes please list:

Please rate your readiness for change.

What following goals does best fit in with your goals?

What is your goal with your training?

What are your main barriers with your training/lifestyle that I can help with?

Why?

What type of support are you interested in?

Online Coaching Packages

1-2-1 Packages

TImeline for achieving your goal.

Rows	12 WKS	16 WKS	24 WKS	32 WKS	1 YEAR
NOW

Are you currently excersising?

Have you trained with a personal trainer before?

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

Please Choose

At what times during the day would you be able to attend a training session? Tick all that apply.

Is it okay to post photos and videos to social media of training and/or progress photos?

Are you okay with Progress Photos (taken personally)?

What are your expectations on me as your Personal Trainer?

1.) CANCELLATIONS Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

2.) LATE ARRIVALS Each session shall be approximately 1 hour in length. 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.) Disclaimer: All personal training packages and session payments are required to be made upfront on a monthly basis. This ensures commitment to your fitness goals and allows for effective scheduling and progress tracking. Payments are non-refundable, and sessions must be used within the agreed-upon time frame. Please ensure timely communication for any rescheduling to avoid loss of sessions.

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!