TRAINER’S NOTES English

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TRAINER’S NOTES English

(FOR INTERNAL USE ONLY) Not for clients eyes

Questionaire:

Please read the questions carefully and answer each one honestly: check YES or NO.

Print Client's Name*

Special Requests: On a scale 1-10 how important is this request*

Date*

Have you ever had a personal trainer before:*

Yes

No

If YES please describe experience:

Client Goals:*

Nutrition coaching required:*

Yes

No

Notes:

Trainer’s recommendations on how to reach goals and improve:

Where can trainers park?

Does the client have equipment available?*

Yes

No

(FOR INTERNAL USE ONLY) Not for clients

Do you have or/had any injuries? (Please Indicate Where)

Bone fracture

Torn ligament (sprain)

Tendonitis

Bursitis

Strained muscle

Dislocation

Impingement syndrome

Frozen shoulder

Shin splints

Patella femoral syndrome

Heel spur

Plantar fascitis

Carpal tunnel syndrome

Other (Please Explain):

When?

Breathing :

Posture :

Injuries :

Trainer's Signature

This field should be left blank

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