Fill in our consultation form to book a free initial consultation

Personal Training

Name

First Name

Last Name

Phone

(###)

###

####

Date Of Birth

YYYY

Write a few words about your lifestyle and occupation – NOT your goals

What are your top 3 goals? (please list goals in order of importance)

What is your training experience?

None

Less than 6 months

Less than 2 years

More than 2 years

Do you currently use any supplements or medication?

Yes

If yes, please list them with details (Quantity, consumptions, brands, etc)

Please list (with approximate dates) any supplements and in particular, medications you have used in the past year

Please briefly state relevant information about current / previous injury or medical condition you think we should be aware of (including approximate dates)

Have you had personal training before?

In very simple, practical terms, what is it that you need to do to achieve your goals? i.e. What can we do for you?

Nutrition

Name

First Name

Last Name

Phone

(###)

###

####

Date Of Birth

YYYY

Write a few words about your lifestyle and occupation – NOT your goals

What are your top 3 goals? (please list goals in order of importance)

Do you currently use any supplements or medication?

Yes

If yes, please list them with details (Quantity, consumptions, brands, etc)

Please list (with approximate dates) any supplements and in particular, medications you have used in the past year

How many meals per day do you currently eat on average?

Do you eat very similar meals each day or are they more varied / erratic (e.g. bought packaged goods etc) please expand

If you are able to, please write down a TYPICAL day’s food and drink - Breakfast - Snack - Lunch - Snack - Dinner - Snack

Please write down your current training / level of exercise (include type and duration of exercise and time of the day you normally exercise)

Do you own a digital bathroom scale?

Yes

Do you own a digital kitchen scale?

Yes

Have you previously sought dietary advice? (if so please expand)

In very simple, practical terms, what is it that you need to do to achieve your goals? i.e. What can we do for you?

Visit us

Dillon Court, Netham Rd,
Redfield,
Bristol,
BS5 9PF

Hours
Tuesday–Friday
6am–6pm

Saturday
8am–12pm

Phone
(+44) 7593 243769

E-mail
hcp.health.fitness@gmail.com

Fill in our consultation form to book a free initial consultation

Visit us

Opening Times

Location