sign up – Donut Barbell | Personal Training Cardiff

Coaching analysis

By completing the analysis prior to signing up it enables you to tell me a little more about yourself. Please aim to complete this form in as much detail as possible, whilst being as accurate and honest as you can. Please remain assured that all information provided would remain secure. Your information will never be passed on to a third party. Fields marked with * are compulsory.

Please Select Your Package*

Name*

First Last

Date of Birth*

Gender*

Weight (specify kg’s, stone, lbs)

Height (specify cm, feet & inches)

Email*

Your Goal*

Do you have a current training program (if so, please attach it)

Max. file size: 2 MB.

If you do not have a current training program to attach, what is your training frequency (how many times per week)

Are you looking to speak to

Health Analysis

This section is designed to assess your physical readiness for activity. If yes is answered to any of the following questions, it is strongly recommended that you visit your doctor or any other medical professional before commencing with any further activity.

Has your doctor ever said that you have a heart condition and that you should only do physical activity once the doctor has given you permission?*

Yes
No

Do you feel any pain or discomfort in the chest when you partake in any form of physical activity?*

Yes
No

In the past month, have you had chest pain when not doing physical activity?*

Yes
No

Do you ever feel dizzy whilst at the same time also losing your balance?*

Yes
No

Do you have any bone or joint problems (for example; back, knee or hip) that could be made worse or aggravated by a change/increase in physical activity?*

Yes
No

Are you currently taking any prescribed medication for blood pressure or heart condition?*

Yes
No

Is there any other reason why you cannot perform physical activity?*

Yes
No

If you answered yes to any of the above, please give details below:

Agreement

By clicking the box below you agree that the information supplied is correct to the best of your knowledge and that you agree to our terms and conditions. You can view our T&Cs here

Terms*

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Coaching analysis

Health Analysis

Agreement