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Island Training Club - New Members Form
Welcome to ITC, we are excited to have you train with us!
Our commitment is to build a high quality and structured training program focused on safety, sustainable/realistic progression and performance.
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Please note that
your responses are kept strictly confidential
and only used by the ITC Coaches to better understand your background and needs.
Email: info.islandtrainingclub@gmail.com
Instagram: @islandtrainingclub (Link:
Island Training Club
)
* Indicates required question
Email
*
Record my email address with my response
Please input your full name.
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Your answer
What is your current weight?
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Your answer
What is your height?
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Your answer
What is your age?
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17 or younger
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55 or older
What area do you live in?
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Central and Western
Eastern
Southern
Wan Chai
Kowloon
New Territories
How many meals (including snacks) do you have per day?
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Choose
1
2
3
4
5
6
7+
In terms of your daily nutrition, would you rate it as
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Bad
1
2
3
4
5
Great
How many glasses of water do you drink per day?
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1-3
4-6
7-9
10+
How many hours of sleep per night?
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Less than 6
6-7
8-9
10+
How many times do you currently exercise per week?
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0
1-2
3-4
5-6
7+ (multiples times per day)
If you do exercise regularly, what types of training?
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Your answer
In terms of your exercise intensity, would you rate it as
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Low
1
2
3
4
5
High
What time do you normally get off work?
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Your answer
Our typical training sessions happen on Wednesday's at 7:30pm, what other weeknights are you free to workout?
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Monday
Tuesday
Thursday
Friday
Required
Would you be interested to join us for weekend activities such as hikes or other sporting events?
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Yes
No
What are your fitness goals?
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Weight loss
Weight gain/add size
Stability/flexibility
Cardiovascular endurance
Muscular endurance
Strength
Athletic performance/power
Rehabilitation
Aesthetics
Other:
Required
If you go to the gym, where do you have a membership? If none, please state.
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Your answer
Have you ever had a personal trainer before?
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Yes
No
Have you been diagnosed with any chronic illnesses/diseases (heart disease, diabetes, high blood pressure, high cholesterol, asthma, etc.)? If yes, please state.
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Your answer
Do have feel chest pain when you are not performing physical activity?
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Yes
No
Do you lose your balance because of dizziness or do you ever lose consciousness?
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Yes
No
Have you undergone surgery WITHIN the last 12 months? If yes, please state.
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Your answer
Have you undergone surgery BEYOND the last 12 months? If yes, please state.
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Your answer
Do you currently have any injuries or body pains (ankles, knees, hip, back, shoulders, etc.)? If yes, please state.
*
Your answer
Are you currently on any prescribed medication? If yes, please state.
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Your answer
Has your physician recently recommended that fitness training is not appropriate for you?
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Yes
No
Do you know of any other reason why you should not engage in physical activity?
*
Your answer
If you go to church, where is your home church? If none, please state.
*
Your answer
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