Full name *

Email address *

Phone number

Date of birth

Occupation / typical day activity level

Emergency contact name

Emergency contact phone

Primary training goal *

Tell us more about your goal

Describe your previous training experience

What exercise or sport do you currently do?

How many sessions per week can you realistically commit to?

Has a doctor ever advised you not to exercise, or to only exercise under medical supervision? *

YesNo

Do you feel pain in your chest during physical activity? *

YesNo

Do you lose balance because of dizziness, or have you ever lost consciousness during or after exercise? *

YesNo

Do you have a bone, joint, back, neck or soft tissue problem that could be made worse by training? *

YesNo

Are you currently taking any medication that could affect exercise, heart rate, blood pressure or balance? *

YesNo

Are you pregnant, postnatal, or is there any related consideration we should know about before training? *

YesNoNot applicable

Please give details for any health, injury, medication or exercise limitations

Do you have any mobility restrictions or movements you avoid?

Any nutrition, hydration or lifestyle factors that may affect training?

How would you describe your sleep on most nights?

Current stress level

Preferred training days / times

What equipment do you have access to?

Any coaching preferences, motivations or concerns?

I confirm that the information I have provided is accurate to the best of my knowledge. *

I consent to being contacted about my training enquiry and programme. *

Personal Fitness Client Questionnaire