Initial Coaching Questionnaire Let me get to know you… Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth MM DD YYYY How Active Are You Daily? * Sat at a desk all day Not very active Moderatley active Very active How Much Alcohol Do You Drink? * None A drink or two on weekends Big nights out every week Throughout the week Rate Your Daily Stress Levels * Not Stressful Sometimes Stressful Very Stressful How Many Hours of Sleep Do You Get Per Night? * Do You Have Any Medical Conditions? * Thank you for completing the form. PAR-Q FORMPlease read carefully and answer YES or NO Name * First Name Last Name Email * Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? * YES NO Do you feel pain in your chest when performing physical activity? * YES NO Have you experienced chest pain when NOT performing physical activity in the last month? * YES NO Do you lose your balance because of dizziness or have you lost consciousness recently? * YES NO Do you have any bone or joint problems such as arthritis, which could be aggravated through physical activity? * YES NO Is your doctor currently prescribing you medications for high blood pressure or a heart condition? * YES NO Has your doctor ever told you NOT to exercise? * YES NO Is there any reason why you should NOT take part in physical activity? * YES NO If you answered YES to the final question please state reason here: * YES NO If You Answered YES: If you answered YES to 1 or more questions, are over 40 and have been inactive/are concerned about your health, consult with a doctor before increasing physical activity. In most cases you will still be able to exercise as long as you adhere to some guidelines I Will Consult With My GP Before Exercise If You Answered NO: If you answered NO you can be reasonably sure you are safe to exercise and have a low risk of any medical complications from exercise. I have read, understood and accurately completed this questionnaire. I can confirm I am voluntarily engaging in an acceptable level of exercise and my participation may involve the risk of injury. Sign Name * Thanks you for completing the form. Informed Consent and Terms and Conditions Name * First Name Last Name Email * Informed Consent * The purpose of your exercise programme is to help you achieve your health and fitness goals, tailored to your current activity levels and objectives. During sessions, you may experience feelings of exertion, increased heart rate, and heavier breathing, which are normal responses to physical activity. As your fitness improves, activities may become more vigorous if aligned with your goals but will remain within your capabilities. All exercises will be explained and demonstrated, so feel free to ask me questions at any time. Every exercise programme carries some risk. Your sessions are designed to minimise these risks while providing effective results. Please inform me of any conditions, such as illness, injury, or dietary concerns, that could affect your ability to exercise safely. When supervised by me, you will receive close guidance. When exercising alone, you are responsible for your safety. If you experience undue pain or discomfort, stop immediately and let me know. You are free to opt out of any activity at any time. I agree to take part in the programme described to me by you. The nature, purpose, risks, and benefits have been explained to me, and I understand what is required of me and that I may withdraw at any time. Payments * Advance Payment Requirement All sessions must be paid for in full before they take place. Failure to make payment will result in the cancellation of the scheduled session. Payment Structure Payments are made monthly in advance, starting from the 1st of each month. If coaching begins partway through the month, the remaining sessions for that month must be paid in full before any sessions are undertaken. Payment Methods Payments can be made via direct debit or cash. I Agree Cancellation * I require 24-hour notice of any cancellation of sessions. This can be made directly to me, by email, txt message or phone call. If 24-hour notice isn't given, you will lose that session and may not be able to book more in (this is because it is super hard to plan my week if people cancel last minute) I Agree Lateness * If you are late for your session, your session will be reduced by that time. If you are more than 20 minutes late, your session may be canceled and you lose your session. In this circumstance, no refund will be given I Agree Refunds * If you decide to stop training and have already paid for a bulk amount of sessions there will be no opportunity for refunds. I Agree Holidays * Client Holidays If you have a holiday booked, your sessions will be adjusted to ensure none are lost. Sessions that would have taken place during your holiday will be rescheduled across the week before and after your time away. Trainer Holidays The same policy applies if I take a holiday. Any missed sessions will be rescheduled accordingly. I Agree Injuries * Inability to Train Due to Injury If you sustain an injury and are unable to train, any sessions from your pre-paid block will not be refunded. However, these sessions can be rescheduled and used once you have recovered and are ready to resume training. I Agree Sign Name Thank you for completing the form.
