TTC with Rami - ramfitness

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I am no longer accepting new clients due to full schedule. I will be launching the TTC program online soon. If you like to stay in touch then I invite you to connect with me on Facebook.

Thank you very much

TTC with Rami - $2,700

Duration 3 months
2 sessions a week - each session is 55 minutes
Location is Winston Trails Golf Club or Client's designated fitness center / home (if possible)
Payment plans available

Please fill out the below form (about 3 - 5 minutes)

Personal Information

* Indicates required field

Name *

First

Last

Date of Birth *

Age *

Height (feet, inches) *

Current Weight *

Gender *

Male Female

Current Occupation *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number - Cell *

Phone Number - Home *

Email *

Emergency Contact *

First

Last

Relationship *

Emergency Phone Number *

Health Information

Do you now, or have you had in the past:

History of heart problems, chest pain or stroke *

Yes No

Increased blood pressure *

Yes No

Any chronic illness or condition *

Yes No

Difficulty with physical exercise *

Yes No

Advice from physician not to exercise *

Yes No

Recent surgery (last 12 months) *

Yes No

Pregnancy (now or within last 3 months) *

Yes No

History of breathing or lung problems *

Yes No

Muscle, joint or back disorder *

Yes No

Any previous injuries still affecting you *

Yes No

Diabetes, hypoglycemia or thyroid condition *

Yes No

Cigarette smoking habit *

Yes No

Medications or supplements *

Yes No

Increased blood cholesterol *

Yes No

Auto-immune disorders *

Yes No

History of heart problems in immediate family *

Yes No

Any condition that may be worsened by weight lifting *

Yes No

Please explain if you answered YES to any of the above questions *

Exercise History

Were you a high school or a college athlete? *

Yes No

If Yes, please explain *

Are you currently exercising, or involved in any regular physical activity? *

Yes No

Cardio (list type) *

Strength Training *

Flexibility (e.i.Yoga) *

Minutes a day? *

Minutes a day? *

Minutes a day? *

Days a week? *

Days a week? *

Days a week? *

Weeks a year? *

Weeks a year? *

Weeks a year? *

Other important comments about your exercise history? *

Fitness Goals

Please list in details all your fitness goals *

Submit

Thank you for your interest in my program. I want this to be your absolute best personal training experience. I will do whatever it takes to make it so or your money back!

Rami S. Aboumahadi

Personal Trainer and Founder of the Total Transformation Challenge Program.

Informed Consent
File Size:	48 kb
File Type:	pdf

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