SMART Strength Screening
Complete this 3–4 minute screening to help Activate Body Noosa understand your goals and any exercise considerations.
YOUR DETAILS
Full name
*
First Name
Last Name
Email address
*
example@example.com
Mobile number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of birth (DD-MM-YYYY)
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Save
Submit
Client status
*
New client
Previous SMART client
Current SMART client
Current physiotherapy client
YOUR GOALS
What would you like to achieve?
*
Build strength and muscle
Improve fitness and energy
Return to exercise after a break
Improve balance and mobility
Support recovery from an injury
Stay active and independent as I get older
Other
Main goal for the next three months (optional)
Exercise experience
*
New to strength training
Trained before but had a break
Currently exercise regularly
HEALTH SCREENING
Do you currently have pain, an injury or physical limitation that could affect exercise?
*
No
Yes
Not sure
If you answered Yes or Not sure, please provide details (optional).
Have you been advised by a health professional to restrict exercise?
*
No
Yes
Not sure
If you answered Yes or Not sure, please provide details (optional).
This form does not provide medical clearance. If you have urgent symptoms, seek immediate medical assistance. In an emergency call 000. Health concerns, positive screening responses, or unclear answers require staff review. Do not automatically book or medically clear clients.
YOUR PREFERENCES
Preferred start
*
SMART Intro Group
Private SMART Introduction
I'd like guidance
Suitable days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Flexible
Suitable time
*
Early morning
Mid-morning
Afternoon
Flexible
How did you hear about us?
Noosa Today
Google
Email
Social media
Friend or family
Physiotherapist
Other
For clients without identified concerns, introductory booking options are subject to staff and coach review.
CONSENT
Privacy and service consent
*
I consent to Activate Body Noosa collecting and using the information in this form to assess my enquiry, contact me and arrange appropriate services. I have read the privacy policy.
Optional updates
I'd like to receive occasional health, strength and fitness updates from Activate Body Noosa.
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