HD PERFORMANCE

HD PERFORMANCE
Welcome to your next chapter! You’re one step closer to transforming your body, mind, and habits through structure, discipline, and expert coaching. Our team’s mission is simple — help you achieve what you’ve always known you’re capable of. Let’s get started.
Full Name

First NameLast Name
Phone / Email Address
Gender
Date of Birth

MonthDayYear
Height
Weight
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:
Do you have any diagnosed health problems list the condition(s).
Are you are on any medications, please list them. (Including Supplements)
If you have any injuries, please list them.
Do you suffer from diabetes, asthma, high or low blood pressure?
Your current diet could be best characterized as:
How serious are you about reaching your fitness goals? (1-10)
Please rate your daily motivation level. (1-10)
What following goals does best fit in with your goals?
What is your goal with pursuing training? And Why?
How much time do you have dedicated daily to exercising ?
Are you currently excersising regulary (at least 3x per week)?
Have you trained with a personal trainer before?
At what times during the day would you prefer to train?
ASSUMPTION OF RISK AND RELEASE OF LIABILITY
I understand that physical exercise and the use of exercise equipment involve inherent risks of injury. I voluntarily assume all such risks and hazards, including but not limited to the risk of injury, disability, death, or property damage.

I hereby release and discharge HD Performance, its employees, agents, and representatives from any and all claims, demands, or causes of action arising from my participation in fitness activities.

I acknowledge that I have been advised to consult with a physician before beginning any exercise program. I represent that I am physically fit and capable of performing the exercises that will be prescribed.

By signing below, I acknowledge that I have read, understood, and agree to be bound by this agreement.
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.
Signature
I AGREE TO THE ABOVE TERMS & CONDITIONS

HD PERFORMANCE

Welcome to your next chapter! You’re one step closer to transforming your body, mind, and habits through structure, discipline, and expert coaching. Our team’s mission is simple — help you achieve what you’ve always known you’re capable of. Let’s get started.