FitVault – Client Intake Form

Section 01

Personal Information

Basic contact details so we can keep in touch.

Full Name *

Date of Birth *

Email Address *

Phone Number *

Emergency Contact Name *

Emergency Contact Phone *

Relationship to You *

Section 02

Health Screening (PAR-Q)

Answer Yes or No to each question. If you answer Yes to any, please consult your doctor before training begins.

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

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

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

Do you lose your balance due to dizziness, or do you ever lose consciousness?

Do you have a bone or joint problem that could be made worse by increased physical activity?

Is your doctor currently prescribing medication for blood pressure or a heart condition?

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

Section 03

Health History

Is there anything about your health or body I should know before we train?

Leave blank or write "None" if nothing to declare.

Your Training Goals *

Section 04

Informed Consent

Please read and acknowledge each statement.

I understand that physical exercise involves inherent risks including muscle soreness, injury, and in rare cases serious cardiovascular events. I am voluntarily participating in personal training with Hassan Nafeh / FitVault. I have answered all health screening questions honestly. I agree to inform my trainer immediately of any change in my health or if I experience pain or discomfort during training. I understand it is recommended I obtain medical clearance from a qualified physician prior to commencing exercise, particularly if I answered Yes to any PAR-Q question above.

Section 05

Liability Waiver

I release and discharge Hassan Nafeh and FitVault from any and all claims, demands, damages, or losses arising from my participation in personal training, including those caused by negligence. I agree to assume full responsibility for any risks, injuries, or damages I may sustain as a result of participating in training sessions. I acknowledge I have had the opportunity to ask questions about the training program and all questions have been answered to my satisfaction.

This waiver is governed by the laws of New South Wales, Australia.

Section 06

Payment & Cancellation Policy

Please acknowledge FitVault's payment terms.

All training plans are paid in full upfront before sessions commence. No sessions will be held without prior payment. Cancellations with less than 24 hours notice will forfeit 50% of the session fee. No-shows will not be refunded. Cancellations made with 24 or more hours notice may be rescheduled at no charge, subject to availability. FitVault reserves the right to reschedule sessions due to trainer illness or emergency with no penalty.

Section 07

Choose Your Plan

Select the package that suits you. All plans paid upfront — sessions valid 6 months from purchase.

Start Here — Free

Free Trial

$0

1 session · 60 min

Experience Hassan's coaching first-hand. Full movement assessment, goal consultation, and one complete session — no strings attached.

Movement & fitness assessment
Personalised goal consultation
One full 60-min training session
Custom program recommendation

Get Started Free

Single Session

$100

💵 $80 cash · 20% off

1 session · 60 min · $100/session

Maximum flexibility with zero commitment. Ideal for technique checks, program refreshes, or staying on track between packages.

Full 60-minute session
Session notes & feedback
No lock-in required

Select

Kickstart

$1,000

💵 $800 cash · 20% off

10 sessions · 5 weeks · $100/session

Build the foundation. Over 5 weeks you'll learn proper technique, establish a training habit, and start seeing results. Best for beginners or those returning after a break.

2 sessions per week
Custom training program
Nutrition basics guidance
Weekly progress check-ins

Select

Client Intake & Agreement

You're all set.