Welcome
Membership and Services
About Tweak Tully
Exercises and Technique
Tweak Blog
Tweak Shop
Contact Us
Welcome
Membership and Services
About Tweak Tully
Exercises and Technique
Tweak Blog
Tweak Shop
Contact Us
Initial Client Consultation
Name
*
First Name
Last Name
Email
*
Phone Number
*
What is you short term priority when working with you trainer?
*
Improve Exercise Program
Improve Nutritional Habits
Combination of both exercise and nutrition
What is your short term goal? (3mths)
What is your long term goal? (12mths)
Have you had a Body Composition Analysis Scan Recently? (last month)
*
Yes
No
How long do you intend to work with your coach on your health and fitness goals?
*
1-2months
2-4months
4 months +
As Long as it Take to Achieve my Goal
Do you have any pre-existing medical conditions that will affect the outcome of your training?
Are you currently exercising?
Yes
No
Have you worked with a coach in the past?
Yes
No
If Yes, was it successful/why did you stop?
How many sessions per week are you prepared to exercise?
*
1-3
4-5
5+
How many session per week do you intend to work with your trainer?
*
1-2
3-4
4+
Do you have experience with weight training?
Yes
No
If Yes, please elaborate below;
Do you have any pain or injuries that are effected by weight training?
Yes
No
If Yes, please elaborate below?
Are you open to supporting your diet with supplementation?
Yes
No
NUTRITION SPECIFIC
Do you have any food allergies? If yes, please elaborate below?
Example of daily food intake (what did you eat yesterday)
Breakfast Mid-Morning Lunch Mid-Afternoon Dinner After Dinner
How much water do you consume daily?
*
Less than 1L
1-1.5L
1.5-2L
2-2.5L
More than 2.5L
Beverages consumed daily?
*
Alcohol
Fruit Juices
Vegetable Juices
Coffee
Tea
Softdrink
Cows Milk
Non-Dairy Milk Alternatives
Flavoured Milk
Energy Drinks
How many take away meals do you consume each week (meals not prepared by you)?
*
Less than 1 per week
1 per week
1-2 per week
2-4 per week
4 or more each week
Additional nutritional information;
SOCIAL MEDIA RELEASE
Social media exposure is an integral part of our business and from time to time your trainer may take photos or video that includes you for the purpose of promoting Tweak Fitness Tully services. Do you give permission for content of this kind to be used for advertising and marketing purposes?
*
Yes
No
PERSONAL TRAINING AGREEMENT
Personal Training is an opportunity for an exercise professional to impart knowledge and experience in a way that allows the client to learn the most effective and efficient way to implement exercise. As a result personal training is often the most effective way to achieve the results you desire. This high impact training will see you paired with a trainer who is 100% committed to your success. While your trainer is fully committed to your success this exchange is financial in nature and the earning capacity of your trainer is dependent on your attendance at the agreed training session. For this reason we ask that you acknowledge and agree to the following;
Cancelation be arranged no earlier than 24 hours prior to the agreed session.
*
I Understand and AGREE
I Understand and DO NOT AGREE
Sessions cancelled sooner than 24 hours before the agreed training time may incur a fee to the value of 100% of the agreed cost.
*
I Understand and AGREE
In Understand and DO NOT AGREE
A ‘No show’ to an agreed training session will attract a mandatory fee of 100% of the value of the session in question
*
I Understand and AGREE
I Understand and DO NOT AGREE
Client Name
First Name
Last Name
Thank you!
