Client Measurements
Louise Payn, Fitness Domme requires you to complete the attached form, providing your physical measurements and rating your sleep, stress level and mood.  These measurements will be repeated at intervals during your training agreement with Coach Louise to monitor your progress.  

Please note that you cannot save this form, so please ensure you have all the information before you start to fill it in.  

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Email *
Name *
Date *
MM
/
DD
/
YYYY
How would you rate each element of your fitness? *
Poor
Not bad, but needs work
Good
Very good
Excellent
Cardiovascular Fitness
Muscular Fitness
Flexibility
Weight in kilograms.
Stand on the scales with both feet planted firmly and evenly on the scales.  Metric measurements please.
*
Resting Heart Rate.
Measure your resting heart rate first thing in the morning, before getting out of bed.  There are some apps to take this measurement, or you could copy and paste the link below to find how to do it manually.  

Copy and paste the following link to check your resting heart rate.  https://www.bhf.org.uk/informationsupport/how-a-healthy-heart-works/your-heart-rate
*
Waist Measurement in centimetres. 
Start at the top of your hip bone, then bring the tape measure all the way around your body, level with your belly button. Make sure it's not too tight and that it is straight, even at the back. Do not hold your breath while measuring. Check the number on the tape measure right after you exhale.
*
Hip Measurement in centimetres.
Measure the circumference of your hips. Start at one hip and wrap the tape measure around your rear, around the other hip, and back to where you started. Make sure the tape is over the largest part of your buttocks. Because making sure the tape is level back there can be hard, try to do it in front of a mirror.
*
Bicep Measurement in centimetres.
Sit at a table and rest your elbow on the tabletop. Double your fist and curl your forearm toward your shoulder. Flex your bicep as hard as possible and hold the flex.Hold the end of a seamless measuring tape atop the highest point of the bicep. Wrap the measuring tape straight around your upper arm and read the measurement where the tape overlaps the end at the highest point of the bicep to determine the circumference of your upper arm.
*
Thigh Measurement in centimetres.
Find the thickest part of your thigh. This is your upper thigh, right under the buttocks. Start the tape at the front of your thigh and wrap it around towards the back before bringing it back to the front. Mark the number at the point where the tape measure meets itself.
*
Chest Measurement in centimetres.
Wrap the tape measure under your armpits, around the fullest part of your chest.The tape measure should be snug. Not so tight that it constricts breathing, but not so loose that the tape measure slides down.Don't puff out or flex your chest. Just stand normally.
*
Sleep.
Rate the quality of your sleep over the last week.  
*
Very good
Very bad
Stress.
Rate how stressed you have been over the last week.  
*
Not stressed at all
Very stressed
Mood.
Rate your mood over the last week.  
*
Happy
Unhappy
Energy Levels.
Rate your energy levels over the last week.  
*
Energetic
Exhausted
Anything else I need to know about your physical or mental state?
Photos, front and side. 
Please take two photos of yourself standing with underwear on.  One photo from the front and the other from the side.  
Stand in the anatomical position, that is with your feet, hip width apart and your arms out to the side.   Answer 'photo uploaded' when you have uploaded the photos to our shared folder.
*
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