HAMILTON PARK FITNESS COMPLIMENTARY ASSESSMENT
SESION DE ENTRENAMIENTO GRATUITA
Name:
First Name / Primer Nombre
Last Name / Apellido
Address:
Street Address / Direccion
Street Address Line 2 / Direccion linea 2
City / Cuidad
State / Estado
Zip Code / Codigo postal
Email:
example@example.com / ejemplo@ejemplo.com
Phone Number:
Please enter a valid phone number / Por favor ponga un numero valido
Gender:
Male
Female
Other
DOB:
-
Month
-
Day
Year
DOB / fecha de nacimiento
Height in Inches:
Approximate Weight:
Times and Days you are available to train:
Morning
Afternoon
Evening
Not available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you prefer to train with a man or a woman?
Man
Woman
No Preference
Do you have a trainer in mind already?
Yes
No
Name of Trainer:
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PERSONAL HABITS
Do you currently or have you played sports in the past? If yes, please describe:
Do you currently exercise? If yes, please describe:
Do you currently follow any dietary restrictions? If yes, please describe:
What are your goals and what do you hope to achieve if you sign up with our team?
Name a famous person, model, or athlete whose fitness level is one you would most like to achieve.
Any insecurities you'd like to work on? (Confidential, of course, we want to help achieve your goals any way we can)
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MEDICAL
Do you currently suffer from any chronic medical conditions? If yes, please describe:
Have you suffered from any serious medical conditions in the past? If yes, please describe:
Have you had any broken bones and/or surgeries in the past? If yes, please describe:
Are you currently experiencing pain, unusual weaknesses, or problems breathing? If yes, please describe:
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DISCLAIMER
Hamilton Park Fitness highly recommends that you discuss any changes to your diet or activity levels with your personal doctor. Hamilton Park Fitness assumes you have already discussed these things with your doctor before pursuing any training from our coaches. Hamilton Park Fitness takes no responsibility for injuries caused by underlying medical conditions that you have not listed or discussed with us previously. Hamilton Park Fitness employs no doctors or medical professionals and is not authorized to provide medical advice. There will be no refunds once you have purchased a training package with any of our coaches. Any unused training sessions will expire 1 year from the date they are purchased.
Signature
Date / Fecha
-
Month
-
Day
Year
Date / Fecha
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