Step 1: Personal Info
Full Name
Email Address
Phone Number
Date of Birth
Emergency Contact Name
Emergency Contact Phone
Step 2: Health History
Current injuries, conditions, or surgeries?
Medications?
Physician advised against activity?
Yes
No
Heart conditions
High blood pressure
Diabetes
Asthma or breathing issues
Step 3: Fitness Goals & Lifestyle
Primary fitness goals
Days available per week
Preferred types of training
Currently exercising?
Yes
No
If yes, describe routine
Smoke or drink regularly?
Yes
No
Step 4: Optional Insights
Motivation to train
Nutrition habits
Learning preference
Your vibe in 3 words
Step 5: Consent & Submit
I acknowledge training carries risk and release liability.
I consent to participate in personal training.
Signature
Date
Submit
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