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New client paperwork

Before your
first session

Five short sections: your details, a health screening (PAR-Q), your lifestyle and activity, a quick diet snapshot, and consent. It takes about ten minutes and everything you write stays between us.

01

Your details

02

Health screening (PAR-Q)

Please read each question carefully and answer honestly. This tells us whether you should check in with your doctor before changing your activity levels.

01 Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?*
02 Do you feel pain in your chest when performing physical activity?*
03 Have you experienced chest pain when NOT performing physical activity in the last month?*
04 Do you lose your balance because of dizziness, or have you lost consciousness recently?*
05 Do you have any bone or joint problems, such as arthritis, which could be aggravated through physical activity?*
06 Is your doctor currently prescribing you medication for high blood pressure or a heart condition?*
07 Has your doctor ever told you NOT to exercise?*
08 Is there any other reason why you should NOT participate in physical activity?*

If you answered yes to one or more questions, are over 40 and have been inactive, or are at all concerned about your health, please speak to your doctor before starting. In most cases you'll still be able to train — we just adapt around it.

03

Activity, goals and availability

This is how sessions get built around your life rather than a template.

04

Diet and lifestyle snapshot

Twenty quick yes/no questions. There are no wrong answers — it's a starting point, not a judgement.

01 Do you add sugar to food or drink almost every day?*
02 Do you eat foods with added sugars almost every day?*
03 Do you use large amounts of salt in your food?*
04 Do you drink more than one cup of coffee most days?*
05 Do you have caffeinated drinks after 4pm?*
06 Do you smoke more than five cigarettes a day?*
07 Do you take recreational drugs?*
08 Do you drink more than one unit of alcohol (a glass of wine, a pint, or a measure of spirits) a day?*
09 Do you eat fried food more than twice a week?*
10 Do you eat processed 'fast food' more than twice a week?*
11 Do you eat processed meats (sausages, ham, smoked salmon) more than twice a week?*
12 Do you often eat foods containing additives and preservatives?*
13 Do you eat chocolate, pastries or sweets more than twice a week?*
14 Does less than a third of your diet consist of fruit and vegetables?*
15 Do you drink less than half a pint (300ml) of plain water each day?*
16 Do you normally eat white rice, flour or bread rather than wholegrain?*
17 Do you have less than a pint (0.6 litres) of milk or yoghurt a week?*
18 Do you eat more than four slices of bread a day, on average?*
19 Are there some foods you feel 'addicted' to?*
20 Do you eat oily fish less than twice a week and/or seeds less than daily?*
05

Informed consent

Please read and tick each statement before signing.

The purpose of your programme is to help you reach your health and fitness goals, based on your current activity levels. You will feel some exertion during sessions — your breathing and heart rate will increase, and at times you'll get hot and uncomfortable. Everything will be explained and demonstrated, and you can ask questions at any point.

Any exercise programme carries an element of risk. Sessions are designed to keep that risk low while staying effective. Please tell your trainer if illness, injury or anything else means you shouldn't take part in an activity. If you feel undue pain or excessive discomfort, stop and say so. You are free to withdraw from any activity, at any time.

Consent confirmations*
✓

Sign to finish

Your signature confirms everything above.

Oxygen's form element does not submit a drawn canvas signature, so this version uses typed signature fields for the submitted record.

Any questions before you send this? Just message Phe.