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Programming Agreement and Client Profile Form - SUPERSET
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Age *
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E-mail address *
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WAIVER, RELEASE OF LIABILITY AND AGREEMENT. In consideration for the services rendered by SUPERSET of a personal physical fitness program and/or nutrition program for my benefit, I agree to waive any rights, claims or damages for injuries that may occur as a result of my participation in said fitness/nutrition program. I agree to disclose any physical limitations, disabilities, ailments or impairments that may affect my ability to participate in said fitness program. I understand that SUPERSET is a personal training business and not a medical doctor, and that it will, in fact, be relying on my representations and disclosures regarding my health and physical condition. I also do not hold SUPERSET or its employees for any personal injuries, bodily injuries or property damage sustained while undertaking the personal physical fitness program and/or nutrition program. I understand if l bring young children who participate or watch sessions to waive any rights, claims or damages for injuries that may occur as a result of being inside the business premise boundaries. I understand this is a non- refundable monthly payment. *
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What is your goal for programming? General and specific?
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How many days/week are you available for programming? How much time will you have for each session?
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What areas are most important to improve?
How committed are you to achieving your goals right now on a scale from 1-10?
What are your current fitness levels like on a scale from 1 - 10?
How is your mobility on a scale from 1 - 10??
Do you have any injuries, movement limitations, or medical conditions we should be aware of?
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How many hours/night do you sleep?
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Do you need help with your nutrition?
If yes, please write a short description of how you currently eat (example: "I'm a vegetarian and I tend to skip meals during the day...")
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What do you consider your personal strengths & weaknesses?
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What's your best time for a 3km run? (if applicable)
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What is your current PR in Back Squat? (if applicable)
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Do you have any additional comments? Questions?
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