Personal & Medical Info

Please ensure that you have filled out all sections of this questionnaire before completing your Welcome Pack. This must be done before you start your training and nutrition programme.

* Required

Emergency Contact Details

Please give details of someone we can contact on your behalf in the unlikely event of an accident or emergency


Your Health

Please select any of the following conditions if they are applicable. Leave them blank if they are not.

If you mark select a condition, or are not sure, please consult a doctor and ask for clearance to exercise before starting any exercise programme

Pre-Existing or Previous Conditions

select any which apply

Current Conditions

select any which apply

Futher Info/Other Conditions

If you have selected any pre-existing conditions above, or if you have any other conditions which you feel may be a reason to modify your exercise program, please let us know

Allergies

Please specify any nutritional allergies you currently have

Current Exercise Level

What exercise have you been doing recently? If possible, please specify the average frequency, duration & intensity level of your current exercise.

Terms & Conditions

Please read the following exercise advice carefully:

Work at a low level on your first session and concentrate on learning to do the exercises properly. On each session you will be able to work a little harder. Be sure to limit yourself to a pace where you can still talk comfortably. Should you suffer any injury, illness or condition in the future, please tell us by completing this form again.

It is recommended that all Males > 35 and Females > 45 should have a Medical Assessment including an Exercise E.C.G and Cholesterol / Lipid Count. Statement

I recognise that a Revolution trainer is not able to provide me with medical advice with regards to my medical fitness and that this information is used as a guideline to the limitations of my ability to exercise.

I have answered the questions to the best of my ability, understand the advice above and have read and understood Revolution PTS’s terms and conditions below. If you do not have a copy of Revolution PTS’s terms and conditions please inform a Revolution representative to request one.

TERMS & CONDITIONS

  1. Parties & Governing Law

(a) These Terms and Conditions (in which are incorporated these terms and conditions and the “session validation sheet” to be completed pursuant to paragraph 4 below) are made between Revolution Personal Training Studios Ltd

(“the Company”) and the individual client. (b) These Terms and Conditions shall be governed by and construed in all respects in accordance with the laws of England and Wales.

  1. Service & Fees

(a) The Client engages the Company to provide Personal Training / Massage Therapy (“PT”) being a focused session of exercise (the minimum duration of which is specified) led by a qualified instructor, bespoke for the wants and needs of

the client (“the Services”).

(b) The Company shall be responsible for providing all equipment deemed necessary by the Company in order to provide the Services.

(c) Nothing in this Agreement and nothing in any statements (whether written or oral) made by the Company, its employees or agents, should be interpreted or construed as being in any way a promise or guarantee as to progress or results that the Client may obtain from the Services or his/her fitness programme.

(d) The Client may not sell, assign or transfer his/her rights to the Services being provided hereunder to any other party without the Company’s prior written consent.

(e) Fees payable pursuant to this Agreement are not refundable. The Client shall make payment of all fees to the company via the reception at the Club. The Club’s reception will issue to the Client a receipt, which will constitute proof of payment.

(f) The client shall not be entitled to use the Services hereunder if he/she is in arrears with his/her split payment.

  1. Physical Condition of Client and Limitation of Liability

(a) The Company has conducted a health assessment in relation to the Client (a copy of which is available to the Client on demand). The Client acknowledges that the Company’s employees and agents are not medically trained and it is the Client’s responsibility to satisfy himself/herself as to his/her medical condition through his/her own doctor before embarking on his/her sessions.

(b) The Client confirms that, save as disclosed by him/her on his/her health assessment form, he/she is in good physical condition, that he/she is capable of engaging in active or passive exercise and that such exercise would not be detrimental to his/her health, safety, comfort or physical condition.

(c) Neither the Company nor any employee or agent of the Company shall be liable for any death or injury occurring during the prevision of the Services except to the extent that such death or personal injury arises from any negligent act or omission of the Company or any employee or agent of the Company.

  1. Booking System

(a) The “booking system” is part of this Agreement.

(b) Simultaneously with the Client purchasing the Services, the Client’s pt session count will be recorded and tracked on “the booking system”.

(c) At the end of each PT session, the Company shall action the booked PT session reducing the Client’s block of sessions by 1.

(d) Where a client has not attended a PT session and has not given notice of cancellation pursuat to paragraph 5(a) below the Company shall action that session on “the booking system” indicating that the PT session has been used.

(e) In the absence of manifest error, “the booking system” shall be conclusive evidence as to the number of PT sessions booked, taken and their respective dates when used.

  1. Remote Personal Training

(a) When training or handling your training equipment at home, please take extra care that all your equipment and the area that you are going to train in  are maintained and safe for you to exercise in before each session.

(b) When you or anything that you are using for your remote personal training session is either picked up, put down or otherwise manoeuvred, please do so safely to protect yourself from injury and your property/training area from damage.

(c) Any damage caused to your home or training area by either yourself or your training equipment is not the responsibility of Revolution Personal Training Studios.

  1. Cancellation

(a) If a booked personal training session is cancelled by the client for any reason, a period of no less than 24 hours must be given to their assigned personal trainer otherwise the client will be charged for the session which in turn will reduce their sessions remaining count by 1.

Note: If at any point during your personal training session (outside or in the studio), during your dieting or eating plan or during your remote personal training session you feel unwell, in pain, dizzy, faint or if anything else out of the ordinary or just doesn’t seem right, then listen to your body, stop and let your personal trainer know immediately! If you feel this way before a training session then you should let your personal trainer know beforehand.


Where Will You Be Training?

Goal Setting

Set your training goals to maximise your results

What is your main goal?

Set your Weekly Goals

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Set your Daily Goals

Goal 1

Nutritional Philosphy

Food Diary

Create accountability and awareness of current habits

Personalise

Select perfect plan to match your goals and dietary needs

Follow The Plan

All plans written by qualified nutritional coaches

Adherence

We set you up for success!

Measurements

Body Weight (kg)
Total % body fat

Tape Measurement Sites (cm)

Chest
Arm
Waist
Hip
Thigh

Body Fat Measurement Sites (mm)

Site 1
Site 2
Site 3
Total mm

You’re all set, hit the button below to begin your 12 week transformation

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