Training Plan Inquiry | Personal Training Da Nang

The basics, so I can reach you and size the plan correctly.

Full name *Please enter your name.

Age *Please enter your age.

Email *Please enter a valid email.

WhatsApp / phone *Please enter a contact number.

Sex at birth

Used for programming and load references. Skip it if you would rather not say.

Female Male Prefer not to say

Height (cm)

Weight (kg)

Occupation

Hours seated per day

A standard pre-exercise screen. Answering yes to any of these does not mean you cannot train. It means I design around it, and in some cases ask for clearance from your doctor first.

Has a doctor ever told you that you have a heart condition, or high blood pressure?

Yes No

Do you feel pain or tightness in your chest, at rest or during physical activity?

Yes No

Do you lose balance from dizziness, or have you lost consciousness in the last 12 months?

Yes No

Do you have a bone, joint or soft tissue problem that could be made worse by exercise?

Yes No

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

Yes No

Are you currently taking prescribed medication?

Yes No

Are you pregnant, or within twelve months of giving birth?

Yes No N/A

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

Yes No

Please answer every question above.

Nothing here stops you training. It does mean I will want written clearance from your doctor before we load anything heavy, and that your first block will be built more conservatively. Please add the detail below so I know what I am working with.

Details for anything you answered yes to

What your body has already been exposed to decides where we start.

Training experience * Please choose your experience level.

Training right now * Please choose one.

What does your training look like at the moment

Which of these have you done before

Choose everything that applies. It tells me which movement patterns you already own.

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

Any current pain, injury or area you have to work around *

No, nothing Minor niggles Yes, something limits me

Please choose one.

Worth knowing. If something is actively limiting you, an Injury Evaluation first is usually the faster route. We find the cause, fix the movement, then load it. Tell me about it below either way and I will advise.

Past and current injuries, pain or surgeries

Average sleep per night

Current stress level

How would you describe the way you eat at the moment

What you want, and what will actually fit your week.

Primary goal *

Fat loss Muscle building Strength Posture & movement General fitness Return to sport

Please choose your main goal.

What would success look like in three months *

Describe it as something you can do, not just a number. Those goals hold up better.

Please tell me what success looks like.

Have you tried to reach this goal before? What happened?

Sessions per week

Package you are considering

Preferred gym or area in Da Nang

Preferred days & times

Would you like your nutrition handled for you?

Yes, send me details Maybe later No, I cook myself

Your meal plan is included either way. Meal Prep Da Nang is the optional done-for-you version, at a client discount.

Anything else you want me to know

Attach related files (optional)

Past programmes, assessments or progress photos. They arrive attached to the same email. Please keep the total under 5 MB.

I confirm I have answered the health screening honestly, and I will tell Jeff if anything changes or if new pain appears once training starts.

Please confirm before submitting.

Your first trial session is free with no obligation. Details are only used to design your plan and keep your training safe, per the Privacy Policy.

Training Plan Inquiry Form