Personal Training Client Consultation Form
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Age
Weight
Height
Do you have any medical conditions or previous medical conditions that I should be aware of?
Please describe any injuries or limitations you have.
What are your fitness goals?
Have you ever worked out before?
Do you currently exercise? if so, what do you do?
How would you rate your current eating habits? 1 = poor, 5 = excellent
1
2
3
4
5
Do you have any cravings? if so, explain
How many hours of sleep do you get per night?
What’s your current stress level?
Is your occupation sedentary or active?
Have you ever worked with a personal trainer before? if so, how was that experience?
What motivates you?
How many days are you willing to commit to training?
2
3
4
5
Availability
Monday
Tuesday
Wednesday
Thursday
Friday
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
I confirm that the information provided above is accurate to the best of my knowledge. I understand that it is my responsibility to inform my trainer of any changes to my health. I also acknowledge that any cancellations must be within 24 hours before the session begins in order to make the session up.
PERSONAL TRAINING LIABILITY WAIVER AND RELEASE FORMLoren Bishop Personal Training 1. Assumption of Risk. I, the undersigned, understand and acknowledge that participating in a personal training program with Loren Bishop Personal Training involves strenuous physical activity including, but not limited to, cardiovascular training, strength training, flexibility exercises, and other fitness activities. I recognize that exercise involves inherent risks of physical injury or even death, including but not limited to muscle strains, sprains, abnormal blood pressure, heart disorders, and other potential health risks. I voluntarily choose to participate and fully accept all risks involved. 2. Health Status. I confirm that: I have consulted with my physician or am voluntarily assuming all responsibility for participating without prior medical approval. I will inform Loren Bishop Personal Training of any relevant changes in my health condition or any discomfort experienced during training sessions. I am solely responsible for determining my physical limitations and agree to train within them. 3. Release of Liability. In consideration of being permitted to participate in personal training services provided by Loren Bishop Personal Training, I, for myself, my heirs, executors, administrators, and assigns, release, waive, discharge, and hold harmless Loren Bishop from any and all claims, liabilities, demands, and causes of action resulting from injury, illness, damage, or loss arising from or related to my participation in training services. This waiver applies to all claims for damages or injuries caused by the negligence, active or passive, of the trainer or otherwise. 4. Indemnification. I agree to indemnify and hold harmless Loren Bishop Personal Training from any loss, liability, damage, or cost incurred due to my participation, whether caused by negligence or otherwise. 5. Acknowledgment and Agreement. I have read, fully understand, and voluntarily agree to the terms and conditions of this waiver. I understand that by signing this document, I am waiving certain legal rights and freely assume all risks involved.
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