Consult | TCA Facilities

First name

Last name

Gender

Male

Female

Birthday

Day

Month

Year

Height cm & Weight kg

Do you have a sedentary work lifestyle? Do you follow a regular work schedule?

Do you travel often? Sleep and Routines may be affected

Have you been diagnosed with any health issues?

Are you taking any medications?

Do you have any injuries?

Did you go through any surgeries in the last 6 - 12 months?

Have you recently given birth or are you planning to conceive in the next 6-12 months?

Are you experiencing any stress or motivational problems ?

Does any of your immediate family members developed heart disease before age of 60 ?

Are there any other diseases that run in your family?

Do you suffer from diabetes, asthma, high or low blood pressure?

What is your current diet?

What is your primarily goal with your health and wellness?

What is your timeline to achieve this goal?

What is your biggest limitation in stopping you achieve this goal?

How many days a week are you willing to train?

Are you currently training?

What is your preferred time to train?

Personal Training Packages

2x per week 30 minutes $ 520 per month

2x per week 45 minutes $ 700 per month

2x per week 60 minutes $ 1,040 per month

Online Training inc 1x face to face check-in $ 320 per month

Meal Plan Packages

Meal Plan in addition to PT $ 60 per month

Meal Plan only $ 180 per month

Do you require organic meals based on your meal plan delivered to you weekly?

Terms & Conditions All packages are charged upfront monthly and are non-refundable 24 hour notice is required for any cancellation/rescheduling Session must be used within the same month as per subscription and cannot be rolled over Packages are exclusive for the named client only and are non-transferrable

You will be provided the opportunity at the end of your first month to opt in for either 3 months or 6 months direct debit subscription for ongoing training.

I agree that I have provided all information correctly to the best of my knowledge and hold responsibility for any incorrect or withheld information at this consultation.

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Date

Day

Month

Year

TCA Facilities.

Initial Consultation
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Initial Consultation Please fill in the form below

Initial Consultation
Please fill in the form below