New Client Forms - Personal Training
New Client Forms - Personal Training
New Client Forms - Personal Training
Age: Occupation:
Address:
Phone Email:
No:
CANCELLATION POLICY
I accept and understand that it is my responsibility to keep track of all my training
session appointments. In the event that I must cancel an appointment , I will give 24
hours notice. If I do not give 24 hours notice, my account will be subjected to the
session charge and that session may be forfeited.
Signature:
PAR- Q Form
Physical Activity Readiness Form
If you are planning to become much more physically active than you are now, start by
answering the questions below. If you are between the ages of 15 and 69, the PAR-Q will tell
you if you should check with your doctor before you start. If you are over 69 years of age,
and you are not used to being very active, please check with your doctor.
Name:
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?
In the past month, have you had chest pain when you were not
doing physical activity?
Do you have a bone or joint problem (for example, back, knee or hip)
that could be made worse by a change in your physical activity?
Do you know of any other reason why you should not do physical
activity?
Signature:
Fitness Goals
What areas would you like to improve on?
Nutrition/Diet Other:
3
Fitness Goals
Are there any physical attributes in particular that
you wish to train?
Legs Arms
Glutes Stomach
Chest Other:
Occupation: Age:
Tired and find it difficult to pull Refreshed and ready to start the
yourself out of bed day
Very
Underweight Ideal Bit overweight
overweight
Lifestyle Questionnaire (contd)
Yes No
Yes No
Yes No
Readiness Assessment
Compared to previous attempts, how motivated are you this time to adhere to your
exercise program?
How certain are you that you will stay committed to an exercise program for the time it
will take to reach your goal?
Considering all outside factors in your life - work, stress, family obligations etc. - how
committed are you to adhering to a nutrition plan?
How confident are you that you can work regular exercise into your daily schedule?
I am feeling:
Notes:
Day 2
Glasses of water:
I am feeling:
Notes:
Day 3
Total Steps:
Glasses of water:
I am feeling:
Notes:
Day 4
Total Steps:
Glasses of water:
I am feeling:
Notes:
Day 5
Total Steps:
Glasses of water:
I am feeling:
Notes:
Day 6
Total Steps:
Glasses of water:
I am feeling:
Notes:
Day 7
Total Steps:
Glasses of water:
I am feeling:
Notes:
Meal Planner
MONDAY NOTES
TUESDAY NOTES
WEDNESDAY NOTES
THURSDAY NOTES
FRIDAY NOTES
weekly planner
MON TUE WED THU FRI SAT SUN
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
12:00 AM
Amrap
Doing as many reps as possible for a given exercise.
Example : 12 min amrap of doing squats x10 and push ups 10x
Tabata
HIIT workout consisting of 8 rounds of 20 sec of high intensity workout followed by 10 sec
of low intensity rest.
DOMS
Delayed Onset Muscle Soreness. Soreness you feel after a new exercise.
Isolation Exercise
An exercise that involves one joint and focuses on one muscle group.
Example : Dumbell pullovers , Lateral raise
Superset
2 exercises back to back with little to no rest between them.
Negatives
Focusing on the lengthening part of a muscle contraction.
Example : Downward part of the bicep curl.
Anabolic
The process of building up from chemical reactions that synthesize molecules in
metabolism. State of getting bigger.
HIIT
High Intensity Interval Training. Intense exercise mixed with brief low intensity rest period.
Example : Short sprint - work 8 sec / rest 10 sec - 40 sets for 20 minutes
??
??
Progressive Overload
Gradual increase of stress put on body in exercise.
Example : Increase of reps , weight , speed etc
??
??
7 days | Self care challenge
Hobby/
Sleep Exercise Water Veggies Fruits Meditation
activity
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
RPE Scale
RATED PERCEIVED EXERTION SCALE
RPE allows you to train to a specific intensity to meet the goals of a particular
workout. As it’s a self-determined rating,we modify RPE scale depending on your
physical / mental needs on that day to support you on achieving real goals and
feeling positive and successful on day to day basis.
10
MAX EFFORT ACTIVITY
Ultimate effort. Almost impossible to continue, completely out of
breath , unable to talk , could not do more reps or load.
9
VERY HARD ACTIVITY
Paramount effort.Struggling to maintain exercise intensity, can
barely breathe / speak a single word. Could do 1 more rep
7-8
VIGOROUS ACTIVITY
Robust effort. Borderline uncomfortable. Short of breath, can
speak a sentence, could do 2-3 more reps
MODERATE ACTIVITY
4-6 Average effort. You can maintain activity for hours. Heavy
breathig and carry a short conversation.
2-3
LIGHT ACTIVITY
Minimal effort. You can maintain activity for hours. Easy to breathe
and carry a conversation.
Height: Weight:
Body Mass
Index (BMI): Date:
Circumference Measurement
Chest
Arms
Waist
Hips
Thighs
Calves
Waist-to-Hip Ratio:
Workout Programs
Here you can briefly describe the fitness workout programs you
offer. Write a brief description showcasing its benefits and the
targeted goal.
e
Day 1 Day 1 Day 1 Day 1
l
5 Rolls Up 10 Push Up 10 sec. Squats 10 Leg Raises
p
5 Ankle Reach 10 sec. Plank 10 sec. Lunges 10 Crunches
5 Leg Lifts 10 sec. Crunch 10 sec. Bicycle 5 Min Run
Day 2
x
5 Rolls Up
E
5 Leg Lifts
Day 3
5 Rolls Up
am
5 Ankle Reach
5 Ankle Reach
Day 2
10 Push Up
10 sec. Plank
10 sec. Crunch
Day 3
10 Push Up
10 sec. Plank
Day 2
15 sec. Squats
15 sec. Lunges
15 sec. Bicycle
Day 3
20 sec. Squats
20 sec. Lunges
Day 2
15 Leg Raises
15 Crunches
5 Min Run
Day 3
20 Leg Raises
20 Crunches
5 Leg Lifts 10 sec. Crunch 20 sec. Bicycle 5 Min Run
e
The deadlift is a widely used compound weight exercise
l
that involves picking up a weight from the ground by
p
bending at your waist and hips and standing back up.
m
Deadlifts are highly effective at increasing functional
a
strength due to the activation of your largest lower body
x
muscles.
Its great for people of all fitness levels to try. Its a full
body work out targeting your quadriceps , claves ,
glutes , as well as your upper body muscles inclduing
your pecs , arms , abdominal muscles and obliques.
Exercise 2
Exercise 1
m p l e
E x a
Superset 2: Do three sets
Overhead shoulder
press: 15 reps
Bent over row: 15 reps
both arms
Exercise 2
Exercise 1
3 10 6 45 Sec
m p l e Lateral Lunge
a
Sets Reps RPE Rest
x
3 12 7 45 Sec
E Sets
3
Reverse Lunge
Reps
15
RPE
7
Rest
45 Sec
Glute Bridge
Sets Reps RPE Rest
3 10 8 45 Sec
Camel
Sets Reps RPE Rest
3 10 8 45 Sec
Fitness Self Reflection
Today I'm feeling:
The physically activity I really enjoyed doing with my family this week was:
The one thing I'm looking forward to next week in my fitness journey:
Action Brainstorming
Use this worksheet to brainstorm new ideas to move you closer to a goal or habit change. Do your best to
come up with the full 5 actions or behaviours - one for each box below - completing the worksheet in any
order. Remember this is brainstorming, so just because you write it down doesn't mean you have to do it -
we're just looking for potential ideas to move you forwards! To wrap up this exercise, circle the actions you
like the look of - or WILL do!
My goal is:
Do less: Do differently:
Workout Log
WEEK MONTH
TARGET
M T W T F S S
Week 1: Muscle:
Weight: Chest:
BMI: Hips:
Arm:
Week 4: Muscle:
Weight: Chest:
BMI: Hips:
Arm:
Weekly Planner Week:
Notes:
Weekly Check In
Week 1 2 3 4 5 6 7 8 9 10 11 12
Energy Levels
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Hunger Levels
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Stress Levels
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Recovery
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Sleep
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Digestion
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Energy Levels
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
Personal record sheet (pr)
Week 1 Week 2
Exercise: Exercise:
Reps: Reps:
Duration: Duration:
Week 3 Week 4
Exercise: Exercise:
Reps: Reps:
Duration: Duration:
Week 5 Week 6
Exercise: Exercise:
Reps: Reps:
Duration: Duration:
Week 7 Week 8
Exercise: Exercise:
Reps: Reps:
Duration: Duration:
workout planner
Date: Week:
Time: Month:
Workout Day: 1 2 3 4 5 6 7
BMI: Arm:
Waist: Muscle:
Hips:
cardio workout planner
Date: Week:
Time: Month:
Workout Day: 1 2 3 4 5 6 7
Calories
Exercise Duration Speed Intensity Distance
burned
BMI: Arm:
Waist: Muscle:
Hips:
monthly Weight tracker
Month:
Total
BMI: Waist: inches
lost:
Month:
Total
BMI: Waist: inches
lost:
Month:
Total
BMI: Waist: inches
lost:
Month:
Total
BMI: Waist: inches
lost:
Monthly Weight
Tracker
Month:
Monthly Check in
What goals have I achieved this month?
What are you most proud of from the last few weeks?
(Here we’re looking for daily wins. Like having a good breakfast on your busiest morning. Or making a smart eating
decision in a tricky situation. You’ve done something to be proud of. Now’s the time to call it out.)
How will you celebrate for the great work you've put in (in a healthy way)?
(Think about how you’ll celebrate your progress, even if it’s just a small reward that supports your goals)
What next thing can you do to move past what you think you ‘should’ have done, and
keep you moving forward?
(Think about the next step you can take, right now, to stay on track)
Upcoming fitness goals:
What's next for you?
Looking ahead to the next few weeks, what are you most looking forward to?
In other words, what are you excited about? Looking forward to? Ready to tackle?
Knowing what you’re about to work on, what advantages do you think you have
that’ll make progress more likely?
Tune into your own unique abilities. What ‘superpowers’ do you have that can help you in your efforts?
Knowing what’s coming up in the next few weeks, what things are likely to stand in
your way?
Consider the things that might prevent your progress
How can you prepare, right now, to make sure those things don’t get in your way?
Having listed things that might stand in your way, think about how you’ll prevent them from sabotaging you. How can
you avoid obstacles before they happen?
Nutrition Log
Breakfast
Macro-nutrient Serving Size List Food Item & amount
Carbs
Protein
Fat
Lunch
Macro-nutrient Serving Size List Food Item & amount
Carbs
Protein
Fat
Dinner
Macro-nutrient Serving Size List Food Item & amount
Carbs
Protein
Fat
Grocery List
BAKERY
My Reminder
Did you achieve your small act of self-control to meet your goal today?
If yes, how did you achieve your small act of self-control to meet your goal today?
How easy / hard was it for you to meet your goal today?
0 1 2 3 4 5 6 7 8 9 10
Very Hard Very Easy
What did you feel when you failed, or what happened during the day?
Thursday Squats 20 x
Glute bridges 15 x
High knees 20 x
Calf raises 45 seconds
Saturday
Yoga
Sunday
Yoga
Habit Tracker
SUN MON TUE WED THU FRI SAT
DATE
TEXT
TARGET
RESULT
NOTE
TEXT
TARGET
RESULT
NOTE
TEXT
TARGET
RESULT
NOTE
Client feedback
I enjoyed the training session today.
Further Comments:
If you have any additional comments please use the space below:
Training Questionnaire