1:1 Coaching Form
  • Macstetic Coaching🏋🏻 / Nutritional Tips🥩

    Macstetic Coaching🏋🏻 / Nutritional Tips🥩

    Changing lives naturally
  • Gender*
  • What is the best way to contact you?*

  • What is the activity level at your job?*
  • How often do you travel?*

  • Has your doctor ever said you should only do medically supervised physical activity*
  • Are you under the care of a physician, chiropractor, or other health care professional at this time for any reason?*
  • Do any diseases run in your family?*
  • Do you suffer from or have a history of:*
  • Are you a current cigarette smoker?*
  • Do you drink caffeinated drinks?*
  • Do you drink alcohol?*
  • Do you have any pain or issues in your:*
  • Are you on any specific food/diet plan at this time?*
  • Have you had any recent weight gain or loss?*

  • Which of the following goals best fit in with your goals for your training (select all that apply)?*
  • What possible personal barriers do you feel are keeping you from reaching your nutritional and fitness goals?*

  • Do you have a membership at a commercial gym?*
  • What equipment do you have access to at home?
  • Do you currently exercise on a regular basis?*
  • Do you currently participate in any competitive sports?*

  • What motivates you?
  • Can you accept responsibility for the way your body is today and understand that, while your old habits don't make you a bad person, they still need to be changed?

  • Fitness Business Name

    Informed Consent Form

  • I, give my consent to participate in the physical fitness evaluation program Macstetic Coaching, conducted by: Connor Macrobert.

    Benefits

    Participation in a regular program of physical activity has been shown to produce positive changes in a number of organ systmes. These changes include increased work capacity, improved cardiovascular efficiency, and increased muscualr stregnth, flexibility,power and endurance.

    Risks

    I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains, etc) and the cardiorespiratory system (dizziness, discomfort in breathing, heart attack, etc). I hereby certify I know of no medical problem (except those noted on this form) that would increase my risk of illness and injury as a result of participation in a regular exercise program.

    Testing and Evaluation Results

    I understand I will undergo initial testing to determine my current physical fitness status. The testing will consist of, in part or in whole, a health, medical, and lifestyle questionairre, a cardiovascular fitness test (bicycle, step, run, walk, or similar), and testing for muscular fitness and body composition.

    I further understand such screening is intended to provide The Trainers with essential information used in the development of individual fitness programs. I understnad my individual results will be made available only to me. I also understand the testing is not intended to replace any other medical test or the services of a physician. I will be provided a copy of all test results. I may share the results with whomever I please, including my personal physician.

    By signing this consent form, I understand I am personally responsible for my actions during my tenure with The Trainers and I waive the responsibility of this center if I should incur any injury as a result of my negligence.

  • I agree to the above terms and conditions!*
  • Today's Date*
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  • A check mark below indicate I have read, agree with and understand the following:*
  • Today's Date*
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