Start with a free session

Tell me about you, your health and your goals. I use it to plan your free session safely, so we spend the hour training instead of filling in paperwork. It takes about seven minutes.

1 · Send this form
2 · I review it and reply
3 · Your free session

You only pay if you choose a block after your session. In pain right now? Start with physio instead.

Section 1 of 6About youSo I can reach you and put your goals in context.

Full name *Age *Email *WhatsApp / phone *

Sex at birth

It changes some of the numbers in your plan. Skip it if you would rather not say.

Female Male Prefer not to say

Height (cm)Weight (kg)OccupationHours seated per day

Section 2 of 6Health screenEight quick questions, asked before anyone starts training with me. A yes does not mean you cannot train. It means we plan around it, and I may ask for your doctor's clearance before heavy loading.

Has a doctor ever said you have a heart condition or high blood pressure? *

Yes No

Do you get chest pain at rest, in daily life or when you exercise? *

Yes No

Have you lost consciousness, or lost your balance from dizziness, in the last 12 months? *

Yes No

Do you have a bone, joint or soft tissue problem that physical activity could make worse? *

Yes No

Do you have a chronic condition such as diabetes, asthma, or a thyroid, kidney or liver condition? *

Yes No

Do you currently take prescribed medication? *

Yes No

Are you pregnant, or have you given birth in the last 12 months? *

Yes No

Is there any other reason you should not do physical activity? *

Yes No

Details for anything you answered yes to

Section 3 of 6Training and recoveryWhere you are starting from, so the first sessions are pitched right.

Training experience *Training right now *

What does your training look like at the moment?

Which of these have you done before?

Barbell squat Deadlift Bench press Overhead press Pull-ups or chin-ups Olympic lifts Kettlebells Machines only Running or cardio Yoga or pilates None of these

Any pain, injury or area to work around? *

No, nothing Minor niggles Yes, something limits me

Past and current injuries, pain or surgeries

Average sleep per nightCurrent stress level

Section 6 of 6Goals and blockWhat you want, and how you would like to train.

Primary goal *

Build muscle Lose fat Get stronger Posture and movement General fitness Return to sport

What would success look like in 12 weeks? *Have you tried for this goal before? What happened?

How would you like me to train you? *

Design a program for me Coach me through my current program A mix: keep parts of my program, improve the rest Something else

Tell me more about how you like to trainTraining styles you enjoy or dislike, exercises you want to keep, special requests, or what "something else" means for you.

Sessions per week

2 3 4 Not sure yet

Which block interests you?

No commitment yet. We decide after your free session. See pricing

Foundation, 4 weeks Evolution, 8 weeks Peak, 12 weeks Single sessions Not sure yet

Where would you like to train?Gym name or your area

Preferred days and times

How would you prefer to pay?

Payment is made in full, upfront, once you choose a block. Nothing is charged for the free session.

CashVND or USD, paid in person.CardA 6% card processing fee is added to your invoice.QR paymentVietnamese bank QR, or Wise.SWIFT transferInternational bank transfer. Any bank fees are paid by the sender.Crypto (USDT or USDC)I send the wallet address and network with your invoice.Not sure yetWe can decide after your free session.

Referred by a client? Their nameClients referred by someone I have coached get one extra session added to their block. How it worksAttach files (optional)Progress photos, a current program or medical reports. PDF or image files, up to 5 files and 10 MB in total.

Anything else I should know?

ConsentPlease read and tick each box. All four are required before you send. I answered the health screen honestly and completely. I will tell Jeff about any change in my health, medication or pain before or during training. I consent to Personal Trainer Danang collecting, storing and using the information in this form, including health information and any files I attach, to plan my training and nutrition and keep my training record, as described in the Privacy policy. I can withdraw this consent at any time. I have read and agree to the Terms of service. I understand that exercise carries some risk of muscle soreness, strain or injury; that no particular result is guaranteed except as set out in the Terms; that Jeff may change or pause my training, or ask for a doctor's clearance, if it is not safe for me; and that I can stop any exercise at any time. I am 18 or older, or my parent or legal guardian is completing this form with me and agrees to these terms.

I read every form myself and reply on WhatsApp, usually within a day, to book your free session.