Client Forms

Welcome — these two forms help me personalise your training safely and effectively. Your health history tells me how to build your programme around your body, and the liability waiver is required before your first session. It takes around ten minutes, and you can save your progress and return later.

Your answers stay private. Nothing is published or shared — your responses are saved only in your own browser until you send them directly to jessica.bendahan12@gmail.com.

Step 1 of 12 — Your details

Your details

Health History Questionnaire — personal information.

Name

Date of birth

Age

Address

City, State, Zip

Home phone

Work phone

Employer

Occupation

Please note: Information gathered from this form is used solely by Pulse and Core to plan your training safely and is not shared with third parties. Always consult your doctor concerning your health and physical activity.