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Nerissa Rodrigues

Personal Training Agreement Nerissa Rodriguez

Personal Training Agreement Nerissa Rodriguez

Please review and agree the following terms to start your Training Program

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Personal Training Terms and Conditions

I understand and agree to the following terms and conditions:

Training agreement:

Please read and check the following:
I understand and agree to the following terms and conditions:

Coaching agreement:

Please read and check, if you agree:
By signing above, you accept full responsibility for your own health and well-being AND you acknowledge an understanding that no responsibility is assumed by the Coach Anais or any other facilitator of the program.
PAR-Q (Physical Activity Readiness Questionnaire)

PAR-Q (Physical Activity Readiness Questionnaire)

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
If you are planning to become much more physically active than you are now, start by answering the following seven question. If you are between the ages of 15-69, the PAR-Q will tell you if you should check with your doctor before your start. Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: Check YES or NO.

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you were not doing physical activity? *
Do you lose your balance because of dizziness or do you have ever lost consciousness? *
Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity? *
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *
Do you know of any other reason why should not do physical activity? *
Please read and check, if you agree: *
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Release of Liability

Release of Liability

Please read and complete the following Release of Liability:

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Please read and check, if you agree:
Personal Training Program Design Initial Evaluation

Personal Training Program Design Initial Evaluation

Welcome to your initial evaluation that will help us to gather key information about your goals, health status, and lifestyle to allow me design the best possible training program.

Personal linformation

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Fitness Goals

What describes best your main fitness goal?
What drives you? In 1-2 short sentences, write a personal statement on why your goal is important to you. For example, if your goal is to Lose Weight and you have a specific weight in mind, why is that number important for your lifestyle? This is the Why that drives your coaching program. It will likely continue to develop along the way. (Every answer is a good answer.)
1: not at all / 5: totally

Movement

Rate your current fitness level:
What type of training do you prefer or enjoy the most? Rank by preference order
Strength training
Bodyweight Training (Calisthenic)
Cardio Training (running, cycling, etc.)
High Intensity Training
Mobility & Flexibility
How many days per week can you realistically commit to training?
Where do you prefer doing your workouts?
Please select all equipment you have available to complete your exercises:

Health and Lifestyle

How is your sleep quality?
Most of the time, do you wake up feeling tired?
Are you currently working or in school?
1: low / 5: medium / 10: high ("low" = My home is pretty relaxed.) ("high" = I'm always under pressure at work / school.)

Nutrition & Hydration

Do you typically stay hydrated every day?
How many meals do you eat per day? Mark all that apply: