Personal Training With Bren

Built the Body

Nourished the Mind
Full Name

First NameLast Name
Gender

MaleFemale
Date of Birth

MonthDayYear
Age
years
Height
Weight
lbs
If you have any diagnosed health problems list the condition(s).
If you are on any medications that will have an impact on training/physical health, please list them.
If you have any injuries, please list them.
Do any diseases run in your family?

YesNo
Please list:
Do you suffer from diabetes, asthma, high or low blood pressure?

YesNo
Your current diet could be best characterized as:

low-fatlow-carbhigh-proteinVegetarian/VeganNo special diet
What following goals best fit in with your goals?

Improved healthImproved enduranceIncreased strengthIncreased muscle massFat lossOther
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

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

12345678910
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?
What kind of training are you interested in?

Online TrainingIn Person TrainingProgram + Nutritional GuideProgram OnlyNutrition Only
At what times during the day would you prefer to train?

MorningMid-DayAfternoonEvening
My training packages are thoughtfully designed to support not only your physical fitness but also your overall well-being. Each package includes:

Mental Health Check-Ins: Regular sessions to assess and support your mental wellness, as we understand the importance of a healthy mind in achieving your fitness goals.

Nutritional Guidance: Nutritional education and guidance that aligns with your lifestyle and goals, providing the fuel your body needs to succeed.

Supplement Recommendations (Optional): Evidence-based suggestions to complement your nutrition and enhance recovery, performance, and general health.

Personalized Workout Program: A fully customized training plan designed to meet your unique goals, whether they’re about strength, flexibility, weight management, or overall vitality.

Form and Technique Guidance: A comprehensive guide to performing exercises safely and effectively, reducing the risk of injury and maximizing results.

Encouragement and Accountability: Dedicated support every step of the way, ensuring you stay motivated, confident, and consistent in your journey.

Progress Tracking and Adjustments: Regular assessments to monitor your progress and make program adjustments as needed to keep you moving forward.

I am committed to helping you develop a sustainable, healthy lifestyle that balances fitness, nutrition, and mental well-being. Each session and check-in is designed to bring out your best and make your goals achievable. Ready to get started? Let’s create a plan that’s uniquely yours.
How often do you want to do Personal Training a week?
Please Choose
What are your expectations of me as your Personal Trainer?
Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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 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.) 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!

YesNo
Should be Empty:

Built the Body