NEW CLIENT APPLICATION
Estimated BF %
Current Activity Level
Preferred Workout Times
Have you Worked With A Trainer Before?
Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
Do you feel pain in your chest when you perform physical activity?
In the past month have you had chest pain when you are not performing any physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have bone or joint problems that could be made worse by changing your physical activity?
Is your doctor currently prescribing medication for your blood pressure or for a heart condition?
Do you know of any other reason why you would not engage in physical activity?
What is your occupation?
Does your occupation require extended periods of sitting?
Do you partake in recreational activities (golf, tennis, hiking, etc.)?
Are you currently taking any medications?
Liability Waiver (type full name)