Before Training

Health & Lifestyle Readiness Screening

Before starting training guidance, please complete this screening so I can better understand your health background, lifestyle, activity level, injuries, limitations, and readiness for exercise.

Important Safety Note

This screening helps support a safer and more appropriate coaching process. It does not replace medical care, diagnosis, or treatment. If pain, injuries, medical conditions, medication use, pregnancy/postnatal status, or other risk factors are reported, consultation or medical clearance from a qualified healthcare professional may be recommended before training guidance is provided.

Health Background

Share basic information about your health history, medical considerations, medication use, and any relevant personal factors before training begins.

Lifestyle & Activity

Help us understand your current activity level, sleep, stress, work demands, nutrition habits, and daily routine.

Safer Coaching Direction

Based on your answers, the next step can be guided more appropriately, whether that means beginner guidance, consultation, or medical clearance when needed.

Online Screening

Complete Your Readiness Forms Online

Complete the forms below so we can better understand your health background, activity level, lifestyle, injuries, limitations, and readiness before training guidance is provided.

Important Safety Note

These forms help support a safer coaching process. They do not replace medical care, diagnosis, or treatment. If pain, injuries, medical conditions, medication use, pregnancy/postnatal status, or other risk factors are reported, medical clearance or support from a qualified healthcare professional may be recommended before training guidance is provided.

Step 1: PAR-Q+ Readiness Screening

Start here. This screening helps identify whether you may need additional guidance before becoming more physically active.

Applicant Information

Full nameRequired.

AgeRequired.

EmailPlease enter a valid email.

Phone number

Emergency contact name

Emergency contact phone

Physician / Clinic Information

If you have a physician, clinic, or healthcare professional involved in your care, please provide their details when available.

Physician name

Clinic name

Clinic phone number

Clinic address

I understand that communication with a qualified healthcare professional may be recommended before training guidance is provided when needed.

PAR-Q+ Readiness Questions

1. Has your doctor ever said that you have a heart condition or high blood pressure?

Yes No

Please select an answer.

2. Do you feel pain in your chest, either at rest, during your daily activities, or when you do physical activity?

Yes No

Please select an answer.

3. In the last 12 months, have you experienced dizziness, loss of balance, or loss of consciousness?

Yes No

Please select an answer.

4. Have you been diagnosed with any other chronic medical condition (other than heart disease or high blood pressure)?

Yes No

Please select an answer.

5. Are you currently taking prescribed medication(s) for a chronic medical condition?

Yes No

Please select an answer.

6. Do you currently have, or have you had within the past 12 months, a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically active?

Yes No

Please select an answer.

7. Has a doctor ever said that you should only do physical activity that is medically supervised?

Yes No

Please select an answer.

Fitness Details

Help us understand your current fitness background and training preferences.

Current activity level

Training experience

Preferred training location

Training days available per week

Available equipment

Main training goal

Exercises or movements you enjoy

Exercises or movements you prefer to avoid

Current injuries, pain, or movement limitations

Participant Declaration

Please read and confirm the declaration below before submitting your readiness screening.

Declaration

I confirm that I have read, understood, and completed this questionnaire honestly. I understand that this readiness screening does not replace medical care, diagnosis, or treatment. I also understand that if my health changes, I should update my answers before continuing with physical activity or training guidance.

I understand that if medical clearance or professional healthcare input is recommended, I may need to contact my physician, clinic, or qualified healthcare professional before receiving training guidance.

DateUse format: DD / MM / YYYYRequired.

Signature Type your full name as your electronic signature. Required.

I confirm that the information I provided is accurate to the best of my knowledge. Please confirm the declaration before submitting.

Please complete all required fields before submitting.

I explicitly consent to TRUE FORM storing and processing the health and lifestyle information I provide in this form for the purpose of assessing my readiness, safety and suitability for the coaching or service I have requested. I understand that I can withdraw my consent by contacting info@trueformlifestyle.com and can request deletion of this information where applicable. Please confirm this before submitting.

Thank you. Based on your answers, you may continue to the next step. Your information will be reviewed before training guidance is provided.

Step 2: Lifestyle & Health History

Share more details about your training history, lifestyle, nutrition habits, injuries, surgeries, medications, and health background.

A. Client Personal Information

Full nameRequired.

DateUse format: DD / MM / YYYYRequired.

AgeRequired.

Gender

Height

Weight

Physician name and phone number

Emergency contact name and phone number

B. Exercise

What exercise activities do you currently take part in?

How many days per week do you get at least 60 minutes of moderate-intensity exercise?

On a scale of 0 to 10, how important are the following goals to you?

Weight loss (0–10)

Muscle gain (0–10)

Sports performance (0–10)

Health improvement (0–10)

C. Diet

On a scale of 0 to 10, do you consider your overall diet to be healthy?

On a scale of 0 to 10, how effectively can you control temptations for junk food?

Are you currently following any kind of diet? If yes, what diet and for what reason?

Daily salt intake

Daily sugar intake

Daily fat intake

How many alcoholic drinks do you consume per week?

Do you consume caffeinated beverages such as coffee, tea, soda, or energy drinks? How many per week?

D. Lifestyle

Do you feel like you get enough sleep and wake up feeling rested each day?

On a scale of 0 to 10, how would you rate your average level of stress?

What techniques do you currently use to manage stress?

Do you smoke tobacco or use a vaporizer alternative?

E. Occupation

What is your occupation?

Does your occupation require extended periods of sitting? If yes, please explain.

Does your occupation require repetitive movements? If yes, please explain.

Does your occupation require shoes with a heel, such as dress shoes or work boots?

Yes No

F. Recreation

Do you take part in any recreational physical activities? If yes, please explain.

Do you have additional hobbies? If yes, please explain.

G. Medical / Health Background

Please list any past musculoskeletal injuries

Please list any past surgeries

If you have experienced injuries or surgeries, were they properly rehabilitated and did you receive clearance from a doctor to return to physical activity?

Do you have any chronic health conditions, such as cardiovascular disease, pulmonary disorders, hypertension, diabetes, cancer, or any other condition? If yes, please explain.

Are you on any medications? If yes, have you received clearance from your doctor to take part in physical activity?

Additional notes

Thank you. Your readiness information has been received. Please check your email or wait for the next coaching step.

Prefer a PDF version?

You can also download the forms and complete them manually if needed.

Download PAR-Q+ Form Download Lifestyle & Health History Form

Professional Scope Note

This readiness screening supports a safer coaching process, but it does not replace medical care, diagnosis, or treatment. If pain, injuries, medical conditions, medication use, pregnancy/postnatal status, or other risk factors are reported, medical clearance or support from a qualified healthcare professional may be recommended before training guidance is provided.

Health & Lifestyle Readiness Screening

Health Background

Lifestyle & Activity

Safer Coaching Direction

Complete Your Readiness Forms Online

Step 1: PAR-Q+ Readiness Screening

Applicant Information

Physician / Clinic Information

PAR-Q+ Readiness Questions

Follow-Up Questions About Your Medical Condition(s)

Medical Condition(s) & Related Medication(s)

Fitness Details

Participant Declaration

Step 2: Lifestyle & Health History

A. Client Personal Information

B. Exercise

C. Diet

D. Lifestyle

E. Occupation

F. Recreation

G. Medical / Health Background

Prefer a PDF version?