New client intake

Before you start

New client intake.

Around five minutes. You've already booked and paid; this just makes sure your sessions are safe and right for you from day one.

Be honest about anything that affects what's safe for you to do.

TimeAround 5 minutes
DataHandled in strict confidence

Don't fill this out:

Section 1 of 3 · About you

About you.

The basics. Two minutes.

Full name

Phone Optional

Date of birth

Gender

Town or city

Height (cm)

Weight (kg)

Please fill in all required fields.

Section 2 of 3 · Health screen

Health screen.

A standard pre-exercise health check. All answers are confidential. If anything is yes, a short follow-up appears below.

1. Has your doctor ever said that you have a heart condition, and that you should only do physical activity recommended by a doctor?

2. Do you feel pain in your chest when you do physical activity?

3. In the past month, have you had chest pain when you were not doing physical activity?

4. Do you lose your balance because of dizziness, or do you ever lose consciousness?

5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?

6. Is your doctor currently prescribing drugs for your blood pressure or heart condition?

7. Do you know of any other reason why you should not do physical activity?

8. Are you currently pregnant or have you given birth in the last 12 months?

Follow-up

You ticked yes to one or more questions. A bit more detail helps me keep you safe.

GP clearance status

Injuries relevant to training

Medications or other conditions If applicable

Please answer all eight screening questions.

Section 3 of 3 · Sign and send

Agreement and consent.

Read this, sign at the bottom, send. Last step.

1. What you are signing up for

A one-to-one coaching arrangement with Stuart White, sole trader, delivered in person. The aim is to help you make sustainable improvements to your fitness. Stuart is qualified at Level 3 in Personal Training and Level 4 in Nutrition. He is not a medical doctor, registered dietitian, physiotherapist or psychologist.

2. What is in scope, what is not

In scope: exercise programme design, goal setting and review, resistance and cardiovascular training guidance, movement and technique instruction, training load management, recovery guidance and accountability. Out of scope: diagnosis or treatment of any injury or medical condition, physiotherapy or rehabilitation, manual therapy, prescription of any drug. If anything suggests a clinical issue, Stuart will refer you to your GP or a specialist before continuing.

3. Your responsibilities

Tell Stuart about any medical conditions, injuries, surgeries, medications or allergies that could affect what is safe for you to do. Complete the health screen honestly. If any question flags a concern, get medical clearance from your GP before training. Tell Stuart if anything material changes.

4. How your data is handled

Stuart is the data controller for the information you share. It is stored on UK or EU-based services and used only to deliver your coaching. It will not be shared without your written consent, except where required by law or where there is a credible risk to your safety. You can see, correct or delete your data any time by emailing hello@stuart-white.co.uk.

5. Photos, measurements and progress data

Some clients want measurements, weigh-ins or progress photos; some do not. Both are fine. Nothing is collected without your active consent and nothing is used publicly without your permission.

6. Cancellation and changes

A session can be cancelled with 24 hours' notice at no charge. Use the link in your confirmation email, or email hello@stuart-white.co.uk. If you cancel after that you will still be charged.

7. Liability

Exercise carries inherent physical risk. You are responsible for performing exercises safely, within your own limits, and in line with any medical advice you have received. Stuart is not liable for outcomes resulting from incomplete or inaccurate information you provided, or from the inherent risk of exercise. This does not exclude any liability that cannot be excluded under UK law.

I have read and understood this agreement and I am entering into this programme voluntarily.

Full name (as signature)

Date

Signature

Draw your signature with your mouse or finger.

Please tick the agreement, add your name, date and signature.

Confirmation

Thanks. I've got everything I need.

I'll be in touch shortly to confirm your first session or class.

If anything urgent comes up in the meantime, email hello@stuart-white.co.uk.

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