Louise Sackett M.Ed., Certified Personal Trainer, Health Coach, Nutritionist, Functional Aging Specialist

Helpful Forms

Once you have decided to begin a training/wellness program with me, please print out, complete, and bring the following forms with you (or email them to me).

 

 

 

 

Physical Activity Readiness Questionnaire (PAR-Q)

This form will indicate if you are physically ready to participate in a physical activity program

Informed Consent

This form gives me permission to work with you

Confidentiality Agreement

All information collected is confidential and for the purpose of creating an individualized physical activity/wellness program for you

Health History

This form will help to indicate any contraindications to exercises and provide health considerations in designing an appropriate fitness program

Medical Release

If the results of your PAR-Q Form indicate that you should seek medical permission in order to participate in a physical activity program, print and complete form before our first training session

7- Day Nutrition Challenge Scorecard

Each day you will focus on a new nutrition challenge, while completing the challenge from the previous day as well. Good Luck!

Note: To download Adobe Acrobat Reader for free, click here.