LW Performance
Pre-Exercise Screening
Personal Training · Liam Wood · Canberra, ACT
Every new client completes a short pre-exercise screening before any physical activity. It flags anything that should be cleared with a health professional first, and helps shape how we train. Your answers stay private and confidential, handled in line with the Privacy Act 1988. This page outlines what the form covers — you'll fill in the actual form before your first session.
What I collect
A few basic details so I can reach you and keep an emergency contact on file:
- Name, date of birth and gender
- Mobile and email
- An emergency contact and their number
Part 1 — Health Screening
A set of quick yes / no questions about your health history:
- Have you ever been told you have a heart condition?
- Have you ever had a stroke?
- Do you ever have unexplained chest pain at rest or during exercise?
- Do you regularly feel faint or suffer from dizzy spells?
- Do you have asthma or need medication to help with breathing?
- Do you have a muscle or joint condition that could limit you or be aggravated by exercise?
- Do you have any other medical condition that could be made worse by exercise?
- Do you have high blood pressure (over 140/90)?
- Do you have low blood pressure (under 100/80)?
- Have you been in hospital for an illness, injury or condition in the last 12 months?
- Are you currently taking any prescribed medication?
- Are you currently pregnant or breastfeeding?
Answer no to every question and you're clear to train. Answer yes to any and a medical clearance for exercise from your GP or relevant health professional is needed before we start.
Part 2 — Lifestyle & Goals
A few short questions so training is built around you:
- Do you currently smoke or vape? OptionalIf so, a few details help.
- What are your health and fitness goals?Where you want to get to.
- Is there any specific type of training you'd like to do?For example weight training, circuit training or running support, and how many sessions per week you have in mind.
- Anything else I should know before we start?Past injuries, things you've tried before, what has and hasn't worked, or anything you're unsure about.
You complete and sign the form before your first session — it only takes a couple of minutes.