Online Training Consultation Form

Full Name

First NameLast Name

Gender

Date of Birth

MonthDayYear

Age

years

Height

ft

Weight

If unknown that's okay

Phone Number

Format: (000) 000-0000.

Email

example@example.com

How do you prefer to be contacted?

What do you do for a living?

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.

Food allergies

Foods to include

Foods not to include

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

Are you currently excersising?

Have you used and online trainer before?

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

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

Please Choose

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 Trainer?

1.) CANCELLATION & TERMINATION (ONLINE COACHING)
All online coaching services operate on a recurring monthly basis.
Clients are required to provide a minimum of 30 days’ written notice from their payment date if they wish to cancel or terminate their coaching service.

Failure to provide the required notice will result in the next scheduled payment being taken, and coaching will continue for that final 30-day period. No refunds will be issued for payments already made.

2.) COACHING DELIVERY & RESPONSE TIMES
Online coaching does not include in-person sessions. Support is provided via agreed communication channels (e.g. app, email, WhatsApp).

Check-ins, program updates, and responses will be delivered within the agreed coaching framework. Response times may vary but will remain within reasonable working hours unless otherwise stated.

3.) ACCURACY OF INFORMATION & MEDICAL DECLARATION
The client confirms that all information provided during onboarding and throughout the coaching process is accurate and complete to the best of their knowledge.

The client confirms they have sought and followed any necessary medical advice prior to starting the program and understand they are responsible for informing the coach of any changes to their health status.

All personal information will be treated as strictly confidential.

I AGREE TO THE ABOVE TERMS & CONDITIONS!