Training Profile Questionaire
Name:
Address:
City: Zip:
Home Phone: ( ) Cell Phone:( )
Email:
Emergency Contact: Phone:( )
Male Female Age: DOB:
Current Weight:
Health History
Please check all of the following that apply to you. Explain all “Yes” answers and include approximate dates:
o Are you currently under a doctor’s care?
o Have you ever had surgery?
o Are you currently taking any medications?
o Do you have any allergies?
o Have you ever been dizzy or fainted after/during exercise?
o Have you ever had chest pains after/during exercise?
o Have you ever had high blood pressure?
o Do you have a heart murmur or other heart condition?
o Have you ever had a seizure?
o Do you ever have any trouble breathing during or after exercise?
o Have you had any other medical problems (asthma, diabetes, etc.)?
o Any special precautions, instructions or medical information to ensure your safety?
Have you ever sprained, broken, dislocated, had repeated pain or swelling of any bones or joints?
Disclaimer
During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including increased heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you assume responsibility for these risks and waive any possibility for personal damage. You also agree that, to your knowledge, you have no limiting physical conditions or disability that would preclude an exercise program. If you do have any medical issues that may be of concern, you further agree that a physician has cleared you to participate in a training and nutrition program.
A physician’s examination is recommended for (1) all participants with any exercise restrictions; and (2) all men >44 years old and all women >54 years old. Coaching participants in either or both of these categories who do NOT have prior physician examination MUST acknowledge they have been informed of its importance. By signing below, you accept full responsibility for your own health and wellbeing and you acknowledge an understanding that the leaders of this program assume no responsibility.
Signarture: ______Date:______
I AGREE TO THE FOLLOWING
I will not ridicule or mock any other member. Force Fitness is a safe environment for everyone to push themselves physically and mentally and I will make it a point to foster this environment. If I do hurt someone else physically or create an environment that is hurtful or unsafe for others, then I will be asked to leave the facility without a refund.
Force Fitness training systems are designed for results. We do not follow a strict time guideline for session length. We create the training programs for results and results only. If you have or need 30 minutes of intense training to get best results or fit your schedule that is what you will get. If you need an hour for best results we will provide you with that experience.
We reserve the right to increase the rates on our services. However, we will not increase the rates on your current membership agreement as long as you don’t lapse in payment. We respect that you trust us with your health and fitness goals and we will not take advantage of you.
All sessions should be scheduled at least 24 hours in advance to ensure that you get the time slot that you desire. There is a weekly sign up sheet for sessions that you are required to fill out each and every week for scheduling purposes. If you do not sign in on the sheet you will not be ensured a training session with a coach.
I understand that being on time is an important part of my training program. It is required that you arrive for your session early and begin your pre-workout routine that includes foam rolling and warm ups. If you are going to be late please call the office to let us know. If you arrive more than 15 minutes after your scheduled start time with no notice we are not required to continue the training session .
It is also common courtesy but also required that you provide Force Fitness with 24 hours notification of cancellation of a scheduled session. We will allow you to reschedule your appointment with 24 hours notice. We are not obligated to reschedule your appointment time if you cancel with less than 24 hours notice. We do our best to accommodate schedules but we also have schedules to keep.
You are to use the sessions purchased in your membership program within the month. You are not allowed to carry over sessions from month to month. If you do not use sessions they are lost. If you have to travel for a long period of time or become ill please let us know before your billing date and your account will be suspended for up to three months. Any extenuating circumstances should be brought to the attention of the Director of Fitness for review. We will handle these on a case by case basis.
All Force Fintess training memberships are billed monthly on a predetermined date. You are allowed to pay in full if needed. All members must include a credit or debit card number for us to keep on file in our secure system. If you wish to pay in cash or by check you will be required to submit your payment 10 days before you billing date or we will charge the card on file. We accept all major credit cards and assure you that your information is kept safe.
I understand that there are no refunds once my billing month has started. If I cannot attend training for the month, a credit will be issued for future training of the same length.
I will listen to the coach’s instruction without side talk or interruptions. If you fail to do so and the coach has to repeat him or herself as a result of this, you will be given one warning. There are no cell phones allowed on the gym floor for any reason. If you need your phone handy let your coach know and they will make the arrangement for you. If you continue to be a disruption, then you will be asked to leave the current workout in the best interests of the other clients training at the time. However, please feel free to push and encourage each other during all other times.
It is paramount that you communicate with your coach or coaches at al times. If something is hurting, you are in pain, you get nauseous, dizzy, feel faint or any other out of the ordinary experience or feeling. We would rather know that something is wrong and fix it than let it become a larger problem. Please know that you are in control of the sessions and need to be aware of these things.
I fully understand that it is entirely up to me, and me alone, to do what has to be done to get results.
Therefore, I understand that: Exercise AND Nutrition will directly affect any goals to be achieved from training (both good and bad). I FULLY understand that I should not expect noticeable results if I am less than 90% compliant to BOTH my exercise program AND my nutrition program.
You will get from your workouts what you put in. Results will vary by individual and Force Fitness and Performance, LLC cannot guarantee specific results. You acknowledge that you are responsible for your decisions regarding whether or not to exercise consistently, eat properly, rest enough, and live a healthy lifestyle. The thirty day 100% money back guarantee is applicable within the first thirty days of the start of the program. The money back guarantee is subject to the “honest effort” policy that follows:
Our definition of “honest effort” implies that there are no missed training sessions on your part; you maintain the required food journal and any other materials requested by your fitness coach; and you follow our nutrition recommendations. Along with this you will also be expected to let your fitness coach know if you are having any physical difficulty meeting your goals so that s/he can adjust your program accordingly. Please contactus immediately regarding any concerns about the efficacy of the program.
Experience proves that success is best achieved when your exercise program is consistent, a priority and progressive. A successful coaching process means listening to your coach more than you listen to yourself, understanding that the behavior or task that your coach is telling you to do may be something you are unfamiliar with and you may not want to do it. Trusting means doing it without getting or needing an explanation as to why.
We are theONLY company in the Bloomington area to offer guaranteed results when it comes to weight loss and fitness. If you follow the program laid out for you, you WILL see results, or we'll give you your money back!
I agree to come to every workout in a timely manner by arriving to perform my pre-workout routine at least 5-10 minutes, but ideally 15 minutes, before the official start of the workout. I will not be allowed to participate if I arrive more than 10 minutes after the official start of that workout, as I will have missed the critical group warm-up. I understand that this warm-up is an essential part of having both a productive workout and preventing both short-term and long-term injuries.
I will have a positive attitude, have fun and not use the words “no”, “can’t”. Instead I will say, “I will try my best” (or something like that). I will allow the coaches to push me and show me that I am stronger than I ever imagined.
Signature: ______Date:______
Force Fitness and Performance Video Release/Waiver
I am aware that Force Fitness and Performance may record workouts/ boot camps for later use on television segments, websites, promotional materials, or in any other way they see fit.
By signing this document I hereby authorize Force Fitness and Performance to use my name and likeness, voice, verbal statements, video taped pictures for any of the aforementioned purposes.
Print Name: ______Signature: ______Date: ______
Coaches Notes:
What are you currently doing to reach your goal?
Why is it not working?
How is your nutrition? Are you prepared to make the needed changes to meet your goals?
Do you have a supportive environment at home? What obstacles do you expect to face?
Are you ready to make some changes to List goal or are you planning on doing the same thing you have been doing and expecting a different result?
Make suggested recommendation for training program.
Talk about Prograde: Sell them Jump Start Package
Ask for referrals: Training with friends is always more fun and more effective, could you give us four names and contact information of your friends that you would want to train with you. We are happy to reward you with a $25 gift card and a t-shirt for the names. Just get out your phone and start writing! (Hand them a pen and the sheet)
Don’t keep us a secret from your friends! Have more fun and get even better results!!
Training programs are much more fun and more effective with your friends! You will obviously make some new friends in the facility but in order for you to have the most successfully supportive environment that we can give you we ask that you give us the names of 4 friends that you would want to train with you!
Please take a few minutes and list 4 friends who would enjoy a 1 Week Free Trial at Force Fitness and Performance. For every 4 names that you give us we are going to reward you with a $25 gift card and a free Force Fitness T-shirt!
NAME / PHONE NUMBER / EMAIL ADDRESS1. / ______ / ______ / ______
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