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Precision Strength 1:2:1 Personal Training

PAR Q

Please complete the Physical Activity Readiness Questionnaire in its entirety, the information you provide us with will help inform and allow for the appropriate programme and workouts to be designed to match your needs.

First name

Last name

Birthday

Day

Month

Year

Email

Phone

Address

Occupation

Medical History

Have you had, or do you suffer from any of the following medical conditions?

Medical Conditions

High Blood Pressure

Asthma

Diabetes

Osteoporosis

Arthritis

Heart Attack

Angina

Pacemaker

Cancer

Stroke

Other

None

If you have ticked any of the above boxes please go into more detail should this information be necessary in your participation of exercise and further help inform considerations we may need to take in programme design.

Have you had, or are you suffering from any of the following conditions in regards to joint, skeletal, nerve, or muscular pain?

Joint Pain

Neck

Shoulders

Back

Elbows

Wrists

Hips

Knees

Ankles

Muscular or Nerve Pain

Neck

Shoulders

Arms

Chest

Back

Glutes

Hip Flexors

Legs

If you have ticked one of the boxes above, please go into more detail about the specific injury or condition that has caused you pain or is having an impact on your lifestyle.

Long answer

Have you had, or are you awaiting surgery that might be relevant in regards to you undertaking an exercise regime?

Do you take any medication that might affect your ability to exercise?

Yes

No

Please state what type of medication you are currently taking if it is relevant.

Are you Pregnant?

Yes

No

Training History / Type

Training History / Frequency

I have not done any training before

I have trained in the past but not in the last 6 Months

I have been training infrequently in the last 6 Months

I have been training a few times each Month

I have been training 1-2 times a Week

I have been training 3-5 times a Week

I have been training 5+ times each Week

Training Type - Please indicate what type of training you have done in the past

Cardio Vascular - Run, Bike, Row, Swim, etc.

Resistance Training - Machines

Resistance Training - Free Weights ( Barbell, Dumbbell, Kettlebell etc.)

Functional Fitness Classes

Yoga / Pilates

Other

What Physical Activity do you currently take part in?

Training / Fitness Goals and Focus

What key areas of training / fitness components would you like to focus on?

Cardiovascular - Stamina / Endurance

Muscular Strength

Muscular Endurance

Muscle Growth

Fat Loss

Overall Health + Wellbeing

Event Specific ( Triathlon, 10km Race, Hyrox, Crossfit etc.)

Sport Specific

07809690084

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