Downloadable Forms

• Physical-Activity-Readiness-Questionnaire [CLICK] – this simple questionnaire lets you know whether your client is physically ready for a major exercise and nutritional overhaul.
• BENEFITS OF EXERCISE (CLICK)
• ANOTHER PARQ (CLICK)
• Personal-Medical-History [CLICK] – this questionnaire is much more comprehensive and provides you with critical information about previous and ongoing medical conditions.
• Comprehensive Client Information Questionnaire [CLICK] – this questionnaire allows your clients to articulate and rank his or her goals, while giving you an idea of their lifestyle including habits, work demands, travel demands and more.
• Three-Day-Dietary-Record [CLICK] – this questionnaire provides you with a representative sample of what your client is eating and when.
• Readiness-for-Change-Questionnaire [CLICK] – this questionnaire narrows in on just how ready your client is to do the work necessary for change.
• Kitchen-Makeover-Questionnaire [CLICK] – this questionnaire provides valuable information about your client’s nutritional home base – their kitchen.
• Social-Support-Questionnaire [CLICK] – this questionnaire clues you in to the client’s support environment, or lack thereof, at home and at work.
• Bi-weekly Adherence Chart–This form is used to keep track of nutritional adherence, and is to be reviewed every other week.
• Bi-weekly Client Report — This form is used to keep track of weight, measurements and subjective markers, and is to be reviewed every other week.
• Follow-up Performance Assessment — An in-gym assessment. To be used periodically and compared to gauge progress. Complementary to the Initial Performance Assessment from Day 2.

Our Assessments FORMS

• Initial-Body-Composition-Assessment-Women [CLICK] – this assessment allows you to accurately track and record skinfolds and girths of women.
• Initial-Body-Composition-Assessment-Men [CLICK] – this assessment allows you to accurately track and record skinfolds and girths of men.
• Baseline Visual Assessment [CLICK] – and this assessment provides an objective look at the person’s physique.
• Initial-Recovery-Assessment [CLICK] – this assessment gives you critical information about your client’s stress levels and objective data about their physical state.
• 2014 PAR Q + [click]  The Physical Activity Readiness Questionnaire for Everyone
  The health benefits of regular physical activity are clear; more people should engage in physical activity every day of the week. Participating in physical activity is very safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.BodyWorks Health and Lifestyle Questionnaire from UBC Kinesiology Department [click]

CLIENT FORMS

PERSONAL TRAINING CONTRACT / AGREEMENT

SETTING YOUR HEALTH AND FITNESS GOALS

MEDICAL HISTORY REVIEW FORM

Your two referrals will each receive ONE FREE WEEK of personal training

ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT

YALETOWN FITNESS QUESTIONNAIRE

Do you consider yourself strong, fit and capable? Take the Cooper Test and find out how well you compare to your peers. These tests of strength and endurance give you an objective way to measure your fitness and set goals for the future. The figures in the charts below came from research on 1000s of people, so every time you test yourself, you will have a clear comparison to people your age.

Before you begin, please warm up with a brisk walk or light jog (5-10 min) and a few gentle stretching exercises. Note: Please get clearance from your doctor before taking any strenuous fitness test like the Cooper Test. 

Cardio Test Instructions: Go to a 400 meter track (at a school) or measure a distance of 1.5 miles on a flat surface. After warming up, run / walk 1.5 miles at your best effort. When you are finished, compare your results with your age group in the table below

Upper body strength testing

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Place a folded towel or cushion (3 inches tall) under your chest. Space your hands shoulder width apart and keep your back straight. Do as many push ups as you can without resting, touching your chest to the cushion each time. When you are finished, see your results in the tables below.

Note: This test is modified for ladies. The push ups are done on your knees. During the push ups, do not lift your rear end in the air. Maintain a straight line through your body–from your head to your knees. 

VO2 Max

Athletes’ fitness test and an important health measurement tool.

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