RSVP 2 — Pythia Personal Training

FORMAL NEW CLIENT APPLICATION

TIME FOR CHANGE. TIME FOR ENLIGHTENMENT. TIME FOR STRENGTH.

FORMAL NEW CLIENT ONBOARDING AND APPLICATION QUESTIONNAIRE:

Please Note: I expect you to put some effort into this. This is a omni-program journey - Pythia works with only those who seek change for the right reasons, at the right time, and who are willing to make sacrifices in order to grow.

Your Name:

First Name

Last Name

Best Point of Contact?

Cell Phone, Home Phone

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Email:

Age:

Height and Weight?

Fitness Goals?

Please describe what you hope to achieve in working together.

Current Fitness Routine?

Provide details on your lifetime experience with fitness, wellness, physical exertion, and your current regiment, if any.

Projected Training Frequency:

What is your availability for an approximated number of sessions per week or month?

How Many Hours Do You Work Each Week?

What type of work do you do? How much time for self-care do you currently set aside each week? This will help me determine your current stress levels, natural leadership abilities, time management skills, and room for improvement in balance.

What Time Do You Normally Go To Sleep? Wake?

Sleep is an undervalued part of a healthy body and mind. The average amount of hours you currently sleep each night will help me in determining how we begin.

Previous Injuries?

Please describe previous injuries that you have overcome, or that continue to impede your workouts and mobility.

Current Injuries? Current Physical Barriers?

What, if any, current physical barriers to progress are you dealing with. Do you have any recent injuries I should know about?

Previous Surgeries:

Informing me of surgeries or medical procedures from the past will be integral in ensuring your safety as we work together.

Future Surgeries (If Any):

If you are planning a surgery or medical procedure in the future, please explain timing, the type of procedure, and your expected recovery time here.

Medications?

Please be candid. I will assure you, there is no judgement here. Knowing what medications you are currently taking will help with all aspects of training, wellness coaching, and nutritional planning.

Supplements?

If you are currently taking any supplements to improve your workouts or fitness regiment, please include those here.

Allergies?

Medications, Gluten, Environmental Allergens, Supplemental Allergies, Vitamins, Lactose, etc.

Your Emergency Contact:

This is important. Please provide your Emergency Contact's: Name, Phone Number, E-Mail Address, etc. What is the nature of your relationship? We will not contact this individual for any reason other than an emergency.

Your General Practitoner:

Please provide the name and phone number of your General Practitioner. If you do not currently see a GP, please provide as much medical information as possible in the previous fields.

Other Health Related Professionals:

Please include any other health, fitness, wellness professionals that you currently work with here. Please include the frequency with which you see the individual(s). This can include Chiropractors, Physical Therapists, Acupuncturists, Massage Therapists, etc.

If you are comfortable with bi-weekly photos: Front, Side, Back, etc. As well as providing me with progress pictures, that would be entirely helpful for both of us. Are you comfortable with this?

If so, within your member profile, I will include these progress photos. This means you will be able to view your physical progress privately, as we work together. Photos do not lie. This is a great way to pat yourself on the back and view real change.

FORMAL NEW CLIENT APPLICATION

TIME FOR CHANGE. TIME FOR ENLIGHTENMENT. TIME FOR STRENGTH.

FORMAL NEW CLIENT ONBOARDING AND APPLICATION QUESTIONNAIRE:

SUPPORT

PYTHIA