PLEASE FILL IN FORMS BELOW SO WE CAN HELP YOU GET STARTED ON THE ROAD TO SUCCESSFULL AND CONSISTANT EXERCISE
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YOUR GOALS AND DREAM SHEET
PLEASE TICK THE BOXES THAT APPLY TO YOU:
I WOULD LIKE TO LOSE WEIGHT
I WOULD LIKE TO INCREASE MY BODY WEIGHT
I WOULD LIKE TO INCREASE MY STRENGTH AND STAMINA
I WOULD LIKE TO INCREASE MY MUSCLE TONE
I WOULD LIKE TO TONE DOWN MY MUSCLE TONE
I WOULD LIKE TO INCREASE MY CARDIO FITNESS
I WOULD LIKE TO ADD SOME MILD EXERCISE TO MY DAY
I WANT A PROGRAMME I CAN DO AT HOME
I NEED MOTIVATING TECHNIQUES
I WOULD LIKE TO COMPETE IN BODYBUILDING
I WOULD LIKE ADVICE ON TRAINING WITH ARTHRITIS
HOW MANY TIMES ARE YOU ABLE TO EXERCISE EACH WEEK?
DO YOU BELONG TO A GYM OR TRAINING AT HOME?
DO YOU HAVE ANY EQUIPMENT THAT YOU CAN USE FOR EXERCISE?
PLEASE FILL IN HEALTH SHEET BELOW AS WELL
THANK YOU.
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CLIENT INFORMATION AND HEALTH SHEET
NAME:
ADDRESS:
EMAIL:
CONTACT PHONE NUMBER:
AGE:
WEIGHT AND HEIGHT:
DO YOU HAVE ANY INJURIES? IF SO WHAT?
ARE YOU ON ANY MEDICATION? IF SO WHAT?
PLEASE TICK WHAT APPLIES TO YOU:
HIGH BLOOD PRESSURE
LOW BLOOD PRESSURE
HAVE YOU HAD A HEART ATTACK?
HAVE YOU HAD A STROKE?
DO YOU SUFFER FROM ARTHRITIS?
ARE YOU PREGNANT?
DO YOU SUFFER FROM DEPRESSON
DO YOU SUFFER FROM ANY ILLNESS THAT WILL AFFECT YOUR EXERCISE?
HAVE YOU WEIGHT TRAINED BEFORE? IF SO HOW LONG AGO?
WHEN IS THE LAST TIME YOU DID ANY EXERCISE?
RoCKBoDZ TAKES NO RESPONSIBILITY FOR ILLNESS OR INJURY THAT MAY OCCUR WHILE TRAINING WITH OUR PROGRAMMES. GOOD FORM IS IMPORTANT. IF YOU CAN, TRAIN WITH SOMEONE ELSE BUT MAKE SURE YOU TRAIN AT YOUR OWN PACE. DO NOT OVER TRAIN, IT WILL HINDER YOUR RESULTS NOT HELP THEM.TRAIN WISELY AND AT YOUR OWN RISK.
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