LA FIT New Client Pre-Screening Check

Staying connected is really important to us. By becoming a client of LA Fit Studio you agree to receive class reminders, notifications and promotions by email and/or text message. You may update these preferences at any time by logging into your account, but please be aware that if you are late or miss a class charges may apply.

Fields marked * are required.

CONTACT INFORMATION

Full Name*

Date of birth*

Contact number*

Gender*

Female
Male
Other

Address*

Post code

If you were referred by another client please let us know who to thank!

HEALTH & FITNESS INFORMATION

Health history: Have you ever experienced any of the following (tick all that apply):

Heart condition
Stroke
Unexplained chest pains
Fainting/dizzy spells
Loss of balance
Asthma
Diabetes
Muscle, bone or joint problems
None of the above

If you ticket ANY of the 6 questions, please seek guidance from your GP or appropriate allied health professional prior to undertaking your first class at LA Fit Studio.

If you ticked NONE of the 6 questions, and you have no other concerns about your health, please proceed.

If there is anything else we need to know that may affect your workout, please let us know here

Eg. Are you pregnant; less than 6 month post-partum; description of any chronic or recently recovered acute injuries

Exercise intensity guidelines are available here for your reference if you need them.

What is your main reason for visiting us today?

Lose weight
Tone up
Gain strength
Improve cardio fitness
Increase flexibility
Improve overall health
Stress relief / mental wellbeing
Event

Emergency Contact

Emergency Contact Name*

Emergency Contact Phone*

Consent*

I believe that to the best of my knowledge, all of the information I have supplied within this form is correct.

LA FIT New Client Pre-Screening Check

Hi, welcome to LA Fit ! For your health and safety, please complete this brief questionnaire prior to your first class.

CONTACT INFORMATION

HEALTH & FITNESS INFORMATION

Emergency Contact