Start Your Free Trial

Different approach for every individual

Ready to start your free week trial with the BBF Babes. Check out all the info below, complete the debit document and return via the below form. Then you can book you sessions to confirm your trial. Booking info is below. Don’t hesitate to contact me if you have any queries.

    Emergency Contact Person

    How would you describe your current physical condition?
    UnwellOverweightUnfitHealthyFit

    What regular exercise do you currently do?

    Have you ever had OR do you have?
    Stroke:YesNo
    Heart Condition:YesNo
    Diabetes:YesNo
    Epilepsy:YesNo
    Heart murmur YesNo
    Dizziness:YesNo
    Fainting:YesNo
    Palpitations or pain in the chest:YesNo
    High blood pressure <140/90:YesNo
    Low blood pressure:YesNo

    Are you, OR have you recently had or done any of the following?
    Prescribed medication:YesNo

    Are you pregnant:YesNo
    Given birth in the last 6 weeks:YesNo
    Have you been hospitalised recently?:YesNo
    Dieting or fasting?:YesNo

    **Please Note: If you have circled YES to any of the above OR you are NOT SURE – We will recommend
    that you see a doctor prior to beginning an exercise program

    Have you ever had or do you have?
    Arthritis:YesNo
    Cramps:YesNo
    Asthma:YesNo
    Muscular Pain:YesNo
    Did you, OR do you smoke?YesNo

    Do you experience any pain OR major injuries particularly in the following areas?
    Neck:YesNo
    Knees:YesNo
    Back:YesNo
    Ankles:YesNo
    Have you had any major surgery?
    YesNo

    When?:

    What?:

    Are there any other conditions not mentioned which may be a reason to modify your exercise
    program?

    MUMS AND BUBS – BABY AND MEDICAL INFO
    Are you bringing any kids: YesNo

    Child
    Name:
    Age:
    Sibling
    Name:
    Age:
    Sibling 2
    Name:
    Age:
    Sibling 3
    Name:
    Age:

    About your birth, VB? Complications or difficulties?

    About your baby. Any health complications at birth?

    How was your 6 week health check-up, were you given any recommendations?

    Are you breastfeeding?
    YesNo

    Did you have any diastasis recti? (separation of abdominal muscle)
    If yes, how is the separation now?

    Did you experience any back, pelvic or pubic pain while you were pregnant?
    If yes, did you receive any treatment?

    Are you currently experiencing any pain in your body?
    If yes, where and for how long? Are you receiving any treatment?

    Is there anything else you feel the trainer needs to know before commencing your fitness program?

    I have read and understood the Terms and Conditions and know that it affects my legal rights.