Client Information Questionnaire

Please complete the form below prior to your first scheduled session or scheduled parent orientation session.

All information received on this form will be treated as strictly confidential. Please fill out the forms completely and accurately. This information is essential to helping your trainer develop a program that addresses your needs, goals, and is safe and effective.


Client Information


Emergency Contact Information


Physician Information

Your Performance Coach will send information to and seek clearance and instruction regarding your physical exercise program from your physician unless you request otherwise.


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