Fitness Consultation

Full Name*

First NameLast Name

MaleFemale

Date of Birth*

MonthDayYear

Age

years

Height*

Inches

Weight*

kg

Day Phone*

Format: (000) 000-0000.

E-mail*

example@example.com

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.*

What additional therapies are being undertaken for the given injury?*

YesNo

if yes please list:

Can you confirm you are at least 6 weeks post natal or 10 weeks post C sectionI am aware I must feel well prior to each session and will notify the trainer, should I feel unwell during the session.

YesNo

What is your goal weight in KG?*

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

Need a strong motivator to push you to exerciseYou like to be informed about your program and how it is going to lead you to your goalsLike to try new things if they are effectiveWilling to push past your comfort level to reach your goalsI feel things are really hard I tend to back offNeed to be held accountable for what I am doingBeing sore the day after a workout tells me my workouts are working

12-Week Pain-Free Performance Program

1.) These terms and conditions are an agreement between client(s) and trainer. Payments will be taken for the trainer providing personal training sessions (whether one-on-one, couple or group sessions).

2.) CANCELLATIONS

The personal trainer reserves the right to charge you for a training session if you do not give at least a 24-hour cancellation notice. This session will be classified as a "NO SHOW SESSION" and will be deducted from your session balance.

If you become aware that you cannot make a scheduled appointment, leave a detailed message at the contact number chosen by your trainer.

3.) LATE ARRIVALS

Each session shall be 45 minute - 1 hour in length as initially agreed upon by the client and trainer. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

4.) LIABILITY

In recognition of the possible risk connected with any physical activity, the client hereby knowingly and voluntarily waives any right of cause of action of any kind whatosever arising from any liability which may or could accrue TBGAINZ, its officers, agent's employees or trainers for any injury, illness, or damages that may result from participation in personal / group training sessions, except where such risks are caused by gross negligence or willful misconduct. Should client default, client agrees to pay all costs of collection, including agency fees, court costs and reasonable attorney fees, all of which may be paid or incurred by the holder of this note. Client agrees that no other representation is made other than that which is agreed to in writing.

Failure to use all training sessions or follow program will not relieve client payment.

If for any reason the trainer is unable to continue with the program then any remaining sessions will be re scheduled.

5.) Progress pictures / Social Media

Please note to our Clients that we use before and after pictures. These pictures will be used to gauge progress with the possible use of website/promotional materials. This also applies to video footage of training sessions for the same purpose.

6.) Payment

If any deposit is made for training then deposit will be taken at consultation (deposit price to be agreed between client and trainer). The deposit is to confirm session slots and the amount will be deducted from the remainder of the training program amount

If any clients are unable to continue with training and payment has been made in advance then sessions that have not yet been taken may be held until further notice. This is providing any sessions have not been cancelled at short notice (they will be deducted from session balance as mentioned in 2). Sessions may be held for a maximum of 12 weeks and can be re-booked as usual. This allows time for clients to have time away if needed or for recovery/vacation etc. After the 12 week period the remaining sessions cannot be guaranteed.

7.) Health

Any medical conditions or disabilities are expected to be explained in full to the trainer and noted in the PAR-Q form (this will be completed at the initial/consultation stage) so reasonable action/precautions may be taken.

8.) 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.

Yes

Signature*

Date*

Pre - Consultation Questionnaire

Part 1. Basic information

Part 2. Medical and health information

Part 3. Goals

Part 4. Mental Readiness/Personality

Please Read The Following T&C's.