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TENNIS MEDICAL AND GOAL FORMS

TENNIS PLAYERS

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Question 1 of 17

TENNIS PLAYERS FIRST AND LAST NAME

Question 2 of 17

ADDRESS

Question 3 of 17

DATE OF BIRTH

Question 4 of 17

CONTACT NUMBER

Question 5 of 17

DO YOU EXPERIENCE OR HAVE YOU EXPERIENCED 

(Select all that apply)
A

SLEEPING PROBLEMS

B

SURGERY

C

ARTHRITIS

D

BROKEN BONES

E

NECK OR BACK PAIN

F

JOINT PAIN OR MUSCULAR PAIN

G

CRAMPS OR FATIGUE

H

KNEE OR SHOULDER PAIN

I

NONE APPLY

Question 6 of 17

IF YOU ANSWERED YES TO ANY OF THE ABOVE, PLEASE EXPLAIN?

Question 7 of 17

ARE YOU CURRENTLY TAKING ANY PRESCRIBED MEDICATION, IF SO PLEASE EXPLAIN?

Question 8 of 17

LIST YOUR 2 STRENGTHS AND 2 WEAKNESSES IN REGARDS TO YOUR PHYSICAL CONDITION.

Question 9 of 17

IF YOU ARE NEW TO SPORTS CONDITIONING, WHY HAVE YOU CHOSEN TO START NOW AND NOT EARLIER OR LATER?

Question 10 of 17

WHAT ARE YOU LOOKING FOR OR WANTING FROM YOUR SPORTS CONDITIONING TRAINING EG GUIDANCE, EDUCATION, PROGRAMS ETC. (PLEASE BE SPECIFIC SO WE CAN HELP YOU)

Question 11 of 17

HOW MANY SESSIONS ARE YOU LOOKING TO COMMIT TO AND WHAT ARE YOUR TIME AVAILABILITIES?

Question 12 of 17

HAVE YOU EVER WORKED WITH A SPORTS TRAINER? IF YES, WHAT DID/DIDN'T YOU ENJOY ABOUT YOUR SESSIONS?

Question 13 of 17

WHAT IS YOUR 8 WEEK GOAL? (PLEASE BE SPECIFIC)

Question 14 of 17

WHAT IS YOUR LONG TERM GOAL? (PLEASE BE SPECIFIC)

Question 15 of 17

ARE THERE ANY OTHER CONDITIONS, WHICH MAY BE A REASON TO MODIFY YOUR TRAINING PROGRAM?

Question 16 of 17

WHAT MAIN AREA'S DO YOU THINK YOU NEED TO WORK ON?

(Select all that apply)
A

AEROBIC OR ANEROBIC ENDURANCE

B

STRENGTH / POWER UPPER BODY

C

STRENGTH / POWER LOWER BODY

D

CORE STRENGTH

E

REACTION

F

MENTAL PREPARATION

G

AGILITY/SPEED/FOOTWORK

Question 17 of 17

PLEASE TELL US IF YOU SUFFER INJURY OR IF YOUR HEALTH CONDITION CHANGES.
Statement of Understanding & Consent
Disclaimer

I hereby warrant to Tennis Fitness Trainer that all the information on this form is correct. I acknowledge that I will not have any claim of any kind or nature against Tennis Fitness Trainer for any illness or adverse medical condition or state of health arising directly or indirectly from any test or training program under Tennis Fitness Health Trainer. I acknowledge that I will not have any claim of any kind against Tennis Fitness Trainer should any accident to my person or damage/loss of property occur. I further more declare myself familiar with all rules and regulations in force as laid down by Tennis Fitness Trainers and agree to always adhere there to. Tennis Fitness has a 24hour cancellation policy. If you were to cancel your session within 24hours, full payment is charged.

 

(Select all that apply)
A

I AGREE

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