Consultation Form for Personal Training in London | An Exclusive Personal Training Team in London

Name

FirstLast

Date of birth

Email

Mobile number

Occupation

Employer

Height

Weight

Emergency contact name & mobile

What injuries do you have?

Do you suffer from any of the following

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

Waiver of Liability: Please read.*

We (Dan Roberts and his affiliated Personal Trainers and Coaches) assume no liability for persons injured during the training process. If any medical or other conditions arise that could affect your training with us, you shall let us know immediately. If you have any doubts, please consult your doctor prior to physical activity. All exercise, nutritional and well-being advice given to you by any persons associated with Dan Roberts training Ltd, it is taken at your own risk. By typing your name and today's date above you agree by these terms. This is required.

What are your primary goals?

What other goals do you have?

Why are these goals important to you?

What training do you currently do now?

The more details..the better!

What are your expectations?

Have you used Personal Trainers before?

No
Yes

Which exercises do you love?

Which exercises do you dislike?

Do you want help with nutrition?

No thank you
Maybe
Definitely

Do you have a prefered location

Outside in parks
Home
At a private fitness studio
I don't mind

What is your availability?

What services are you interested in?

Our 'Regular' Personal Training programme
100 day Body Transformation package
Learn to Fight package
Extreme Weight Loss Package
Online Personal Training
Luxury Fitness Holidays
Coprorate Fitness Training
International Personal Training
Private Training in London with Dan Roberts only

Your questions for Dan & his Team.

Personal Training – Consultation Form

Please fill out this 'new client consultation form' when requested