Name
*
First Name
Last Name
Gender
*
Male
Female
Age
*
16
17
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
What do you prefer to be called?
*
Just a name if shortened/nickname or whatever you go by
Email
*
Phone
(###)
###
####
Preferred Method of Contact
*
Whatsapp Message
Phone Call
Email
Height
*
5ft 0
5ft 1
5ft 2
5ft 3
5ft 4
5ft 5
5ft 6
5ft 7
5ft 8
5ft 9
5ft 10
5ft 11
6ft 0
6ft 1
6ft 2
6ft 3
6ft 4
6ft 5
6ft 6
6ft 7
6ft 8
6ft 9
Daily Lifestyle
*
Describe your activity level
Best Shape of your life?
*
When would you say you feel like you were in the best shape of your life?
Past experience with Personal Training?
*
Exercise Schedule (if any)
*
Have you been exercising in the past 3 months? if so, what's your routine? Give us as much info as possible
What has stopped you in the past?
*
Has anything got in the way? (job/children/finances etc)
Fitness Level
*
1
2
3
4
5
6
7
8
9
10
What do you do for a living?
*
What is the activity level at your job?
*
None - Very much seated all day
Light - Up and down a little bit
Moderate - On feet a fair part of the day and moving around
Heavy - None stop on feet and doing quite a lot
What is your working schedule? Shifts / Regular work timings?
*
How many times per day do you usually eat?
*
1
2
3
4
5
6
Do you monitor your calories?
*
Yes
No
Sometimes
Have you ever been diagnosed with or experienced an eating disorder or any other significant health condition?
If you feel comfortable sharing, please provide details
Are there any parts of your body you consider problem areas?
*
What is it you want to achieve from personal training? Please list all your goals and expectations
*
Do you have a specific time frame in mind?
*
What are you strength areas?
*
What are you weak areas?
*
What are your hobbies / what do you do in your spare time?
*
Is there a specific way of training you enjoy the most?
*
Please rate your mental readiness to make changes to reach your goal.
*
1
2
3
4
5
6
7
8
9
10
Please rate your motivational level to do what it takes to reach your goal.
*
1
2
3
4
5
6
7
8
9
10
At this moment what is motivating you?
*
Date
*
Todays date - not D.O.B
MM
DD
YYYY
Do you know of any other reason why you should not engage in physical activity?
*
Yes
No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
*
Yes
No
Do you have a bone or joint problem that could be made worse by physical activity?
*
Yes
No
In the past month have you had chest pain when you were not performing any physical activity?
*
Yes
No
Do you feel pain in your chest when you perform physical activity?
*
Yes
No
Do you lose your balance because of dizziness or lose consciousness?
*
Yes
No
Terms & Conditions
*
Welcome to THE SECRET PT. By entering into a contract with our trainer, you agree to the following terms and conditions:
Our trainer is self-employed and you will be entering into a contract with them alone.
1. The trainer will use their skills and knowledge to design a safe exercise program that takes into account your lifestyle, personal goals, fitness levels, and medical history.
2. Each personal training session will last either 45 or 60 minutes (as stated in the session you purchase directly). We cannot guarantee specific results, as progress depends on your effort and cooperation in and outside of the sessions.
3. All client information will be kept private and confidential.
4. To ensure the best results, you and the trainer must commit to the training program 100%.
5. You must arrive on time for each session, wear appropriate clothing and footwear, and complete a Physical Activity Readiness Questionnaire (PARQ) before your first session. The trainer may also require a letter of medical clearance from your GP.
6. You must inform the trainer of any conditions or changes to your health that may affect your ability to exercise safely.
7. There are inherent risks in participating in a strenuous exercise program. You acknowledge that the trainer is not responsible for any injuries sustained during training, except in cases of gross negligence or intentional acts by the trainer.
8. If you need to cancel or reschedule a session, you must give at least 12 hours notice. If you cancel with less than 12 hours notice, you will be charged for the full session fee. You must do this via the simply book app or website.
9. If the trainer is late, they will add extra time to the session or to subsequent sessions. If you are late, the session will end at the scheduled time.
10. Purchased sessions are non-refundable and non-transferable and will expire as per the expiry date stated when purchased via simplybook.
11. Our trainer is certified in first aid and holds £2 million in public liability insurance.
12. If the sessions take place at your location, you must provide a safe exercise environment.
13. If the trainer is unable to continue your training for any reason, you may request a full refund for any unfulfilled sessions.
14. The trainer reserves the right to change these terms and conditions as necessary, and will notify you of any changes.
This agreement is governed by the laws of England and Wales and is subject to the of the English court.
