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Blog
Contact
Contact Us
Pre-Exercise Questionnaire – Member
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Pre-Exercise Questionnaire – Member
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This field is for validation purposes and should be left unchanged.
Name
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Today's Date
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MM slash DD slash YYYY
Phone
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Email
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Your Date of Birth
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MM slash DD slash YYYY
Sex
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Height
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Weight
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Address
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Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact Details
Name
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Phone
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Relationship
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Do you now, or have you had in the past, any of the following: (please answer all questions, yes or no)
History of heart problems, chest pain, or stroke?
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Yes
No
Details of heart problems, chest pain, or stroke
Increased blood pressure?
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Yes
No
Details of increased blood pressure
Any chronic illness or condition?
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Yes
No
Details of chronic illness or condition
Difficulty with physical exercise?
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Yes
No
Details of difficulty with physical exercise
Advice from doctor not to exercise?
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Yes
No
Details of Hernia, or any condition that may be aggravated by lifting weights?
Recent surgery (last 12 months)?
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Yes
No
Details of recent surgery
Pregnancy (now or within last 12 months)?
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Yes
No
Details of Pregnancy (now or within last 12 months)
History of breathing or lung problems?
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Yes
No
Details of History of breathing or lung problems
Muscle, joint, or back disorder, or previous injury?
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Yes
No
Details of Muscle, joint, or back disorder, or previous injury
Diabetes or thyroid condition?
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Yes
No
Details of Muscle, joint, or back disorder, or previous injury
Cigarette smoking habit?
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Yes
No
Details of Cigarette smoking habit
Obesity (more than 20% over ideal body weight)?
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Yes
No
Details of Obesity
Increased blood cholesterol?
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Yes
No
Details of Increased blood cholesterol
History of heart problems in immediate family?
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Yes
No
Details of History of heart problems in immediate family
Hernia, or any condition that may be aggravated by lifting weights?
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Yes
No
Details of Hernia, or any condition that may be aggravated by lifting weights
Do you ever experience dizziness, fainting or light-headedness during or after physical activity?
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Yes
No
Details of dizziness etc
Are you currently engaging in regular physical activity on most days of the week?
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Yes
No
Details of physical activity
Do you experience high levels of stress, anxiety, or other mental health concerns?
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Yes
No
Details of stess, anxiety or other
Information: Are you taking any medications/drugs?
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Yes
No
Details of medications/drugs
Consent
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I agree to GENERAL TERMS, CONDITIONS and DISCLAIMER
These terms and conditions relate to the operation and function of FHFPT Pty Ltd, trading as Focus Health & Fitness and its subsidiaries, affiliates, and associated parties regardless of their location. Nothing in these terms and conditions, limit any rights you may have under the Trade Practices Act, Fair Trading Act, any other Commonwealth or State Legislation or any other such laws in the region where you attend related activities. You acknowledge and recognise the inherent risks of injury or ill health resulting from use of the services and from participation in exercise generally. In consideration of participation in activities with Focus Health & Fitness you agree to release and indemnify Focus Health & Fitness and any company associated with Focus Health & Fitness. You agree to participate in all activities at your own risk and responsibility whether supervised or not by staff. You agree to release and hold harmless Focus Health & Fitness and any associated parties from and against all actions which may be bought by you or on behalf of you in respect of any incident arising out of injury, loss, damage or death caused to you or your property in any way what so ever.
Consent
*
I agree to PERSONAL TRAINING TERMS & CONDITIONS
Payment & Scheduling
All personal training sessions must be paid for in advance. Clients using direct debit will generally pay for two weeks of sessions in advance. In some cases, the first payment may cover three weeks of sessions.
Direct Debit Commitment Period
Direct debit personal training requires a minimum initial commitment of two weeks (Initial PT Period). After this time, the agreement automatically renews on a fortnightly basis unless cancelled in accordance with the cancellation terms below.
Cancellation & Rescheduling
A minimum of 24 hours' notice is required to cancel or reschedule a session. Cancellations with less than 24 hours' notice will incur the full session charge.
Cancellation of Ongoing PT via Direct Debit
After the initial two-week period, you may cancel your direct debit personal training agreement at any time with at least 14 days' written notice before your next scheduled debit.
Refund Policy
Refunds are not offered for change of mind. However, you may be entitled to a refund or remedy under the Australian Consumer Law if there is a major issue with the service. In other circumstances, session credits may be deferred to a future date.
Trainer Continuity
If your trainer leaves Focus Health & Fitness, a qualified replacement trainer will be allocated to you. Your training history and notes will be shared with them to ensure continuity. Refunds will not be issued due to trainer change.
Session Transferability
You may transfer your remaining personal training sessions or agreement to another person with written consent.
Missed Payment Fees
Please ensure there are sufficient funds in your nominated account before each scheduled debit. Missed payments may incur a fee charged by the third-party payment processor.
Injury or Discomfort
If you experience any pain, discomfort, or injury during training, you must notify your trainer immediately.
Medical Considerations
At any stage of your training, if health concerns arise, you may be asked to seek advice or clearance from a medical or allied health professional. Personal Trainers at Focus Health & Fitness are not qualified to diagnose or treat injuries, illnesses, or medical conditions.
Contact Form
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