Fitness Consultation Form

Full Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred way of communication?

Date of Birth

Date

Gender

Weight (in lbs)

Height (in ft)

What do you do for work?

Online or In-person training?

Do you have any of the following conditions?

Have you had an previous injuries?

If yes, please describe

How would you describe your current activity level?

What are your primary fitness goals?

Have you worked with a fitness trainer before?

What types of workouts do you enjoy?

Other

Are there any exercises you dislike or cannot do?

What time of day do you prefer to workout?

How many days per week can you commit to working out?

Other

Are you willing to follow a nutrition plan?

How did you find out about me?

When do you want to start?

I agree to the terms and conditions outlined in the privacy policy and consent to the collection and use of my information as described herein. I understand that my personal data will be protected and used solely for the purpose of providing fitness consultation services. I have the right to access, correct, or delete my data at any time by contacting the fitness consultation service provider. By proceeding, I acknowledge that I have read and understood the privacy policy and agree to its terms. I am over 18 years of age and competent to make my own healthcare decisions. I understand that this consultation is not a substitute for medical advice from a qualified healthcare professional. I acknowledge that fitness activities carry inherent risks, and I assume full responsibility for any injuries or damages that may occur during my fitness program. I confirm that all information provided in this form is accurate and complete to the best of my knowledge. I understand that providing false or misleading information may affect the quality of my fitness consultation and program. I have the option to withdraw my consent at any time, without affecting the lawfulness of processing based on consent before its withdrawal. I have been informed about the potential risks and benefits of participating in a fitness program and have had the opportunity to ask questions and seek clarification. I voluntarily agree to participate in the fitness consultation and program. I understand that the fitness consultation service provider may use my information to contact me regarding my fitness program or related services. I have the right to opt-out of receiving such communications at any time.

I understand that the fitness consultation services provided are not intended to diagnose, treat, cure, or prevent any disease. I acknowledge that the fitness consultation service provider is not a medical professional and cannot provide medical advice. I agree to consult with a qualified healthcare professional before starting any new fitness program or making significant changes to my current exercise routine. I am responsible for monitoring my own health and well-being during the fitness program and will immediately discontinue exercise and seek medical attention if I experience any pain, discomfort, or other adverse symptoms. I understand that the fitness consultation service provider is not liable for any injuries or damages that may occur as a result of my participation in the fitness program, except in cases of gross negligence or willful misconduct. I acknowledge that the fitness consultation service provider may use my information to track my progress and provide personalized recommendations. I have the right to request access to my fitness data and to correct any inaccuracies. I understand that the fitness consultation service provider may share my information with other healthcare professionals or fitness experts with my consent. I have the right to revoke my consent at any time. I acknowledge that the fitness consultation service provider may use my information for research purposes, provided that my identity is protected and my data is anonymized. I have the right to refuse to participate in research studies. I understand that the fitness consultation service provider may use my information to improve the quality of its services. I have the right to provide feedback and suggestions. I acknowledge that the fitness consultation service provider may use my information to send me promotional materials or special offers. I have the right to opt-out of receiving such communications. I understand that the fitness consultation service provider may use my information to comply with legal or regulatory requirements. I have the right to request information about how my data is being used and to challenge any unlawful processing.

I understand that the fitness consultation services provided are not a substitute for professional medical advice. I acknowledge that the fitness consultation service provider is not responsible for any medical conditions or injuries that may arise during or after the fitness program. I agree to follow the instructions and recommendations provided by the fitness consultation service provider and to exercise within my own physical limitations. I am aware that fitness activities involve risks, and I assume full responsibility for any injuries or damages that may occur. I understand that the fitness consultation service provider may use my information to create a personalized fitness plan. I have the right to review and approve the fitness plan before it is implemented. I acknowledge that the fitness consultation service provider may use my information to monitor my progress and make adjustments to the fitness plan as needed. I have the right to request changes to the fitness plan at any time. I understand that the fitness consultation service provider may use my information to provide support and encouragement. I have the right to contact the fitness consultation service provider with any questions or concerns. I acknowledge that the fitness consultation service provider may use my information to improve the quality of its services. I have the right to provide feedback and suggestions. I understand that the fitness consultation service provider may use my information to send me promotional materials or special offers. I have the right to opt-out of receiving such communications. I acknowledge that the fitness consultation service provider may use my information to comply with legal or regulatory requirements. I have the right to request information about how my data is being used and to challenge any unlawful processing.