JS Performance & Recovery – 1-1 Personal Training Enquiry

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Thank you for your interest in 1-1 Personal Training!
Please complete the form below so I can learn more about you, your goals, and how I can best support you.
Once submitted, I’ll be in touch to share my Enquiry Pack and next steps.

Email *

Full Name *

Email *

Age *

Phone number *

Preferred Contact Method *

Call

Instagram/Facebook (Please provide Instagram or Facebook handle)

Other:

What are your main goals? *

What is your training experience? *

No previous experience

Beginner- use of dumbbells or kettlebells

Intermediate- use of dumbbells, kettlebells, machines and barbell work

Advanced- comfortable with the use of all gym equipment in the gym

Other:

What type of workouts have you done before?

Gym based workouts

Home workouts

Group fitness classes

Sporting activities

Other:

Do you have any current injuries, medical conditions, or physical limitations I should be aware of? *

PARQ - Health Screening *

Has a doctor ever said you have a heart condition or high blood pressure?

Do you feel chest pain during physical activity?

Have you had chest pain when not active in the past month?

Do you ever feel dizzy or lose consciousness?

Do you have a bone or joint problem that could worsen with exercise?

Are you taking medication for blood pressure or a heart condition?

Is there any other reason you shouldn’t exercise?

Other:

Required

Which days/times are you generally available for sessions? And how many sessions are you looking for per-week? *

Consent *

I confirm the above information is true and I will update my trainer if anything changes.

Required

Signature (full name in BLOCK capitals) *

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