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Live Fit Club Studio PAR-Q
Personal Details
What is your full name?
*
What is you Email Address
*
What is your Phone Number?
*
What is your Date of Birth?
*
What is you Gender?
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Male
Female
Rather Not Say
Please add your Emergency Contacts, Name and Number.
*
Fitness Goals
What are your fitness Goals?
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Weight Loss
Muscle Gain
Strength
Improve Fitness & Energy
Sports Performance
Flexibility & Mobility
Injury Recovery
Current Activity Level.
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A
Sedentary
B
Lightly Active
C
Moderately Active
D
Very Active
Health & Medical Information
Do You have Any Medical Conditions I should know about? e.g: Heart Conditions, Diabetes, High Blood Pressure, Asthma, etc, if yes explain below, if no type NO below
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If yes to above, have you been cleared to exercise by your doctor?
A
Yes
B
No
Do you Have Any Current Injuries?
*
A
Yes
B
No
If yes please explain.
Availability & Preferences
What Is Your Preferred Training Format?
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Preferred Days?
*
Preferred Times?
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Early Mornings (6am-8am)
Mornings (9am-11am)
Midday (12pm-2pm)
Late Afternoon (3pm-4pm)
Early Evenings (5pm-8pm)
How Many Sessions A Week?
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1
2
3
More
I confirm that the information provided is accurate and I consent to it being used for the purpose of designing a personal training programme, which is legally binding and subject to applicable laws
*
Yes, I agree
Sign here
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Signature
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