Personal Details
TRAIN GYMS | Choose your location
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Train Nenagh , Unit 8 , Tyone , Nenagh
Train Limerick , 1 St.Alponsus st., Dock Rd. Limerick
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Sex
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Male
Female
Date of Birth
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-
Month
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Day
Year
Date
Height (cm)
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Weight (lbs)
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Goals
Please provide some details on your goals .What you would like to achieve from our sessions . Think - 3 months from now what would progress be for you ? On a small and big scale.
What do you feel your weakness is ? What do you struggle most with when it comes to your current health and fitness regime .
Have you any fitness targets in particular you would like to achieve ?? (i.e Run your first 5km , Do 10 full push ups , be confident attending classes )
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Lifestyle & Health
Have you Previously trained in a gym or with a Personal trainer before ? If so please provide some information on the type of training you did .
Do you currently partake in any form of physical activity ? If so please provide details below on , based on an average weekly load . (i.e. form of exercise , duration of exercise, how often )
Do You Smoke
Yes
No
How often do you consume Alchol?
Every week
Every second week
Once a month
Every couple of months
Never
Do you take perscription medication ? (If Yes, Please provide further information)
Do you suffer from any back , knee or shoulder pain that may cause you discomfort or affect your movement? Please list any previous injuries that may affect your ability to perform certain exercises .
Do you suffer from high blood pressure , asthma ,diabetes or a heart condition ?
What is your occupation? What does your weekly work hours consist of ? Please fill in as much detail which will allow me get as much insight into your current lifestyle as possible .
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Personal Training Availability
Would you like help with your nutrition as-well as your training ?
Yes please I need the accountability and guidance
Im happy to just focus in training for now
Is it 1-1 or small group PT ? (please specify number of people)
How many sessions a week would you like to do?
Would you like to keep you time slots the same every week ?
What day or days are you available ?
Mondays
Tuesdays
Wednesdays
Thurdays
Fridays
Saturdays (8-12pm)
Please provide details on the times you are available to train on each of the days selected above . Please give as much detail as possible .If you are very flexible please state .
Any additional information you wish to add:
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Cancelation Policy
Please read & Sign
There will be no fee charged for your 1st cancelation . However , there will be a 24 hour notice period required for any other cancelations from then onwards. If you fail to give 24 hours notice to your coach your scheduled session shall be deducted, at full price , from your balance. Any questions please don't hesitate to ask.
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Signature
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