Initial Coaching Questionnaire Name * First Name Last Name Email * Phone * (###) ### #### Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Do You Have Any Medical Conditions? * Thank you for completing the form. PAR-Q FORMPlease read carefully and answer YES or NO Name * First Name Last Name Email * Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor? * YES NO Do you feel pain in your chest when performing physical activity? * YES NO Have you experienced chest pain when NOT performing physical activity in the last month? * YES NO Do you lose your balance because of dizziness or have you lost consciousness recently? * YES NO Do you have any bone or joint problems such as arthritis, which could be aggravated through physical activity? * YES NO Is your doctor currently prescribing you medications for high blood pressure or a heart condition? * YES NO Has your doctor ever told you NOT to exercise? * YES NO Is there any reason why you should NOT take part in physical activity? * YES NO If you answered YES to the final question please state reason here: * YES NO If You Answered YES: If you answered YES to 1 or more questions, are over 40 and have been inactive/are concerned about your health, consult with a doctor before increasing physical activity. In most cases you will still be able to exercise as long as you adhere to some guidelines I Will Consult With My GP Before Exercise If You Answered NO: If you answered NO you can be reasonably sure you are safe to exercise and have a low risk of any medical complications from exercise. I have read, understood and accurately completed this questionnaire. I can confirm I am voluntarily engaging in an acceptable level of exercise and my participation may involve the risk of injury. Sign Name * Thanks you for completing the form. Informed Consent and Terms and Conditions Name * First Name Last Name Email * Informed Consent * The purpose of your exercise programme is to help you achieve your health and fitness goals, tailored to your current activity levels and objectives. During sessions, you may experience feelings of exertion, increased heart rate, and heavier breathing, which are normal responses to physical activity. As your fitness improves, activities may become more vigorous if aligned with your goals but will remain within your capabilities. All exercises will be explained and demonstrated, so feel free to ask me questions at any time. Every exercise programme carries some risk. Your sessions are designed to minimise these risks while providing effective results. Please inform me of any conditions, such as illness, injury, or dietary concerns, that could affect your ability to exercise safely. When supervised by me, you will receive close guidance. When exercising alone, you are responsible for your safety. If you experience undue pain or discomfort, stop immediately and let me know. You are free to opt out of any activity at any time. I agree to take part in the programme described to me by you. The nature, purpose, risks, and benefits have been explained to me, and I understand what is required of me and that I may withdraw at any time. Payments * Advance Payment Requirement All coaching must be paid for before programming and app access is granted. Failure to make payment will result in the cancellation of plan and app account. Payment Structure Payments are made monthly in advance, starting on the 1st of each month. If coaching starts partway through a month, the first payment will be pro-rated to cover the remaining days of that month. After that, full monthly payments will be due on the 1st of each month. Payment Methods Payments can be made via cash, bank transfer, Apple Pay or Google Pay. I Agree Cancellation * If you choose to cancel your monthly coaching, you'll continue to have full app access and support until the end of the month you’ve already paid for. No further payments will be taken after that. I Agree Refunds * If you decide to stop training after making your monthly payment, no refunds will be issued, as coaching is paid for in advance and your spot has been reserved for that month. I Agree Injuries * If you sustain an injury and are unable to train, no refunds will be issued for the current coaching period. However, your coaching can be paused and resumed once you’ve recovered and are ready to return. I Agree Sign Name Thank you for completing the form.
