Full Name *

Date of Birth

Gender
MaleFemalePrefer not to say

Mobile Number *

Email Address *

Emergency Contact Name

Emergency Contact Number

Health Information

Do you currently have any medical conditions?
NoYes

If yes, please specify

Are you currently taking any medication?
NoYes

If yes, please specify

Have you had any previous injuries or surgeries?
NoYes

If yes, please specify

Do you currently experience any pain, discomfort, or physical limitations?
NoYes

If yes, please specify

Do you have any allergies that your trainer should be aware of?
NoYes

If yes, please specify

Is there anything else about your health or physical condition that your trainer should know?

Fitness Goals

What are your primary fitness goals?

Weight LossMuscle GainStrength DevelopmentBody Toning & ShapingGeneral FitnessFlexibility & MobilitySports PerformancePosture CorrectionCore StrengthPre/Post-Natal FitnessSenior FitnessOther

What would you like to achieve through your Fit Habitat training program?

Training Information

Have you exercised or worked with a personal trainer before?
NoYes

What is your current activity level?
SedentaryLightly ActiveModerately ActiveVery Active

Where would you prefer to train?
HomeBuilding GymVilla GymOffice GymOutdoorOther

How many days per week would you ideally like to train?
1 Day2 Days3 Days4 Days5+ Days

Client Declaration & Consent

I confirm that the information I have provided is accurate and complete to the best of my knowledge. I understand that the information provided will be used by Fit Habitat to help design and deliver an appropriate training program. I agree to inform Fit Habitat and my trainer if there is any change in my health, medical condition, medication, injury, or physical ability that may affect my training.

I confirm that I have read and agree to the above declaration.