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- Consultation Forms

Home Consultation forms for all private luxury fitness holidays

Private Fitness Holidays – Consultation Form

Please fill this in if you are interested in a 1-2-1 fitness holiday with us

Name
FirstLast
Date of birth
Email
Occupation
Employer
Height
Weight
Emergency contact name & mobile
What injuries do you have?
Do you suffer from any of the following
- ME
- High blood pressure
- Low blood Pressure
- Diabetes
- Disordered eating
- BDD
- ADHD
- Raised Cholesterol
- Anxiety
- Liver or Kidney conditions
- Digestive problems
- Any heart condition
- Epilepsy
- Hernia
- Ostereoperosis
- Athritus
- Asthma
- Cramps
- Muscular pains
Do you smoke?
- No
- Occasionally
- 40+ a week
How much do you drink?
- Occasionally
- 10+ units most weeks
- 25+ units most weeks
What medications are you on?
Do you have any infectious deseases?
- No
- Yes
Have you been recently hospitalized?
- No
- Yes
Have you recently had surgery?
- No
- Yes
Are you pregnant?
- No
- Yes
What training do you currently do now?
Where do you want to go ?
- Miami
- Los Angeles
- Rio de janeiro
- Marrakesh
Wwho do you want to coach you
- One of our Elite Trainers (4,500)
- Dan Roberts (£7,000)
- Don't mind
What is your planned start date?
Which programme are you interested in?
- The Red Carpet Programme
- The Warrior Programme
- The Zen-Athlete Programme
- Other
Are you doing this holiday alone?
- Yes
- No with a friend
If you do any of our fitness holidays with a friend, they must also fill out this form. Holidays cost less when done with 2 people.
What are your primary goals?
What other goals do you have?
Why are these goals important to you?
What are your expectations?
Which fitness activities do you dislike?
What fitness activities do you love?
How do you want pay the £1000 deposit?
- Paypal
- Bank Transfer (uk)
- Cash (London)
Special Considerations
Please let us know of any religious customs or personal matters that we should be made aware of.
Do you have any questions for us?
Do you agree to 'Your rights' below?
- Yes

Your Rights

You must tell your Trainer of any new medical or other issue that may affect training
Dan and the team are not responsible for issues with flight carrier or hotel
There is no refund if you decide not to train during the holiday or leave early
We are fully insured for $5m with the NRPT and is not responsible for any new injuries.
Deposit is non-refundable