Checkout – V Fitness Bahamas

Personal Training Consultation Questionnaire

Please fill this form below and check out to get your Personal Traininer

Please Select Trainer

Chavese Moss Lanardo Mackey Darvano Andrews

First Name

Last Name

Gender

Male Female

Age

Height (cm)

Weight

- What do you do for Living?

- What's the activity level at you job

None (Seated only) Moderate (light activity such as walking) High (Heavy labor, very active )

- Do you follow Regular working schedule? do you work

Days After noon Nights

- How often do you travel?

Rarely A few time a year A few time a month Weekly

- Please list the physical activites that you participate in, outside the gym and outside of work

- If you have any diagnosed health problems list the condition(s).

- If you are on any medications, list them,

- What other therapies are being undetaken for the given health problem(s)?

- If you have any injuries, please list them.

- What additional therapies are being undertaken for the given injury?

- Are you experiencing any stesses or motivational problems?

Yes No

- Has anyone of your immediate family developed heart disease before the age of 60?

Yes No

- Do any diseases run in your family?

Yes No

- Do you suffer from diabetes, asthama, high or low blood pressure?

Yes No

- Are you current cigaratte smoker?

Yes No

- Your current diet could be best characterized as:

- Please rate your readiness for change.

- What following goals does best fit in with you goals?

- What is your goal with your training and why?

- Timeline for achieving your goal.

- How often are you willing to train a week to reach your goal?

- Please rate your motivational level to do what it takes for reach your goal.

- Are you currently excersising regulary (at least 3x per week)

Yes No

- Have you trained with a personal trainer before?

Yes No

- At what times during the day would you prefer to train?

Morning Mid-Day Afternoon Evening

- How often do you want to do Personal Training a week?

- What are your expectations on me as your Personal Trainer? PT 60 Package.

- What are your expectations on me as your Personal Trainer? PT 30 Package

1- CANCELLATIONS

Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

2- LATE ARRIVALS

Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruption caused by the client.

3- ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

I AGREE TO THE ABOVE TERMS AND CONDITIONS!

“12 in-person session: $25 (Chavese Moss)” has been added to your cart. Checkout

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Your Order

Product	Subtotal
12 in-person session: $25 (Chavese Moss) × 1	$180.00 / day
Subtotal	$180.00
Total	$180.00
Recurring totals
Subtotal	$180.00 / day
Shipping	Shipping costs will be calculated once you have provided your address.
Recurring total	$180.00 / day First renewal: March 14, 2025

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Personal Training Consultation Questionnaire

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