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Simply fill in the form below for this great offer 3 PT sessions for just £120 (Can be applied to all services).

Lontech Health Defence

Kick Start Training Questionnaire

Gender
Date of Birth
Day
Month
Year
What is the activity level of your job?
Sedentary (mostly seated)
Moderate (light activity such as walking or standing)
High (heavy labour, very active)
Are you experiencing any stresses or motivational problems?
Yes
No
Do you suffer from diabetes, asthma, high or low blood pressure?
Yes
No
Are you a current cigarette smoker?
Yes
No
What are your reasons for training?
Have you trained with a personal trainer before?
At what times during the day would you prefer to train?

1.) CANCELLATIONS

Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

2.) LATE ARRIVALS

Agreed session length will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT


All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

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