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Client Intake - Please Complete All Four(4) Sections Below AFTER Paying

Yes, 4 forms, but they're necessary and set us up for everything! Simply: a waiver (legally necessary), a client agreement so you and I are on the same page, a questionnaire about your environment and exercise preferences so that I can be prepared to maximize your paid time, and then a health questionnaire that's necessary so I know you're medically all clear to get after it. 

STEP 1 - Client Waiver & Release

In-Home Personal Training Services Liability Waiver

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I, the undersigned participant, acknowledge that I have knowingly, willingly and voluntarily chosen to participate in personal training services provided by Makeshift Fitness (Makeshift Fitness, LLC), including in-home and alternative training environments and potentially using non-workout-specific objects for exercise purposes. I understand that physical exercise and training involve inherent risks, including but not limited to muscle strains, sprains, injuries, or other health complications. I hereby release, waive, discharge, indemnify and hold harmless the trainer, Makeshift Fitness (Makeshift Fitness, LLC), and its agents from any and all liability, claims, demands, or causes of action that may arise from my participation in these services, including any injury or damage that may occur during or after the training sessions.

I acknowledge that I am aware of the risks involved in physical exercise and personal training. I certify that I am physically fit and have no medical conditions that would prevent me from safely participating in the training sessions. I assume full responsibility for any risks, injuries, or damages that may occur as a result of my participation.

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After submitting, please scroll down to Step 2

STEP 2 - Client Training Agreement

Client Training Agreement

This Agreement is separate from the Waiver and Release of Liability and is intended to establish expectations and standards for the training relationship.

Section 1: Training Relationship & Commitment

Personal training is a collaborative process. Results depend on consistency, effort, communication, and mutual respect.

Section 2: Scheduling, Cancellation & Rescheduling

Sessions must be canceled or rescheduled at least 24 hours in advance. Late cancellations or no-shows may be forfeited unless otherwise discussed.

Section 3: Training Environment Standards

Training may take place in homes, gyms, outdoor spaces, or alternative environments. Clients agree to maintain a clear, safe space and appropriate personal hygiene.

Section 4: Flexibility & Creative Training

Makeshift Fitness embraces adaptability. Progress does not require perfect conditions - just commitment.

Section 5: Effort, Growth & Health Prioritization

Meaningful results require accountability, effort, and consistency.

Section 6: Communication & Respect

Open communication and professionalism are essential to a productive training relationship.

Section 7: Confidentiality (Trainer Commitment)

Makeshift Fitness agrees to strict confidentiality. No client information will be shared without explicit consent.

Section 8: Cost & Payment Expectations

The cost of services are:

  • $100 for (1) "Get Yourself Started" Pack, OR

  • $125 for (1) "Get Yourself Started" Pack + Assessments (e.g., Static posture; Overhead Squat)

  • $55 per 1 session of roughly 1 hour (must complete 1 of the "Get Yourself Started" packs to be eligible for single sessions)

Final Section: Agreement & Signature

Date (auto-recorded upon submission)

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After submitting, please scroll down to Step 3

STEP 3 - Environment & Planning

Pre-Session Environment & Planning Questionnaire

Let’s spend our time actually training — not figuring things out!

🧍 SECTION 1 – Where will you ACTUALLY work out?

  • Where do you realistically see yourself working out most often?

• Where do you realistically see yourself working out most often?
Inside my home
Outside at my house/apt.
Outside at park/playground,etc.
Combination

  • How many days per week do you realistically plan to work out?

Single choice
1-2
3-4
5+

  • How long can you realistically commit per session?

Single choice
15-20 min
20-30 min
30-45 min
45+ min

🏠 SECTION 2 – Indoor setup (if applicable)

  • Do you have a dedicated space to exercise indoors?

Single choice
Yes
No
Sometimes

  • What equipment do you currently have? (check all that apply) 

Multi choice

  • Is there something stable you can anchor a resistance band to?

Single choice
Yes
No
Not Sure

  • Do you have a door that could support a band anchor (e.g. towel hanger over top of door)?

Single choice
Yes
No
Not Sure

🌳 SECTION 3 – Outdoor setup (if applicable)

  • Do you have access to a safe outdoor space?

Single choice
Yes
No

  • Is there a tree nearby you could use for exercises?

Single choice
Yes
No

  • If yes: Are there branches at different heights?

Single choice
Yes
No

  • Is there a nearby park or playground?

Single choice
Yes
No

  • Are you comfortable working out outside?

Single choice
Yes
No
Sometimes

🚶 SECTION 4 – Cardio preferences

  • Do you have a safe place to walk consistently?

Single choice
Yes
No

  • Which of these do you enjoy or are open to? (check all that apply) 

Multi choice

  • Any limitations with cardio? (pain, breathing, joints, etc.)

🎯 SECTION 5 – Preferences

  • Do you prefer:

Single choice
Simple & repeatable workouts
Variety

  • Do you want workouts to feel:

Single choice
Easy to complete
Moderately challenging
Challenging

  • What usually stops you from being consistent (be real with yourself if necessary)?

🌿 SECTION 6 – Cannabis Use (Optional)

(This helps me better understand your recovery, energy levels, and workout preferences. All responses are confidential.)

1. Do you currently use cannabis?

Single choice
Yes
No

2. If yes, how often do you typically use cannabis?

Single choice
Occasionally (1–2x/week or less)
Moderate (3–5x/week)
Daily
Multiple times per day

3. How long have you been using cannabis regularly?

Single choice
Less than 1 year
1–3 years
3–10 years
10+ years

4. When do you typically use cannabis? (Select all that apply)

Multi choice

5. If you use cannabis before exercise, how does it affect you?

Single choice
Improves focus/body awareness
Helps me relax
No noticeable effect
Decreases coordination/energy
I’m not sure

6. Are you open to adjusting cannabis timing or usage to improve results?

Single choice
Yes
No
Maybe

The above information is used solely to help guide your training and is not medical advice.

📸 SECTION 7 – Photos of Workout Space (Optional)

  • If you feel comfortable, upload some pictures or a video of your workout space so I can better visualize your workouts

After submitting, please scroll down to Step 4

STEP 4 - PAR-Q+ Health Questionnaire

Please download, complete, and then upload your completed PAR-Q+ questionnaire below.

This form helps ensure safe and appropriate training. All information is confidential.

In the area below, you'll first upload your completed PAR-Q+, and then you'll "Submit" it.

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