MudaGym’s intake form

    Medical check
    Did your doctor give a negative sports advice?
    NoYes

    Are you currently being treated by a physiotherapist?
    NoYes

    Do you have an injury at the moment?
    NoYes

    Are you on any medication?
    NoYes

    Did you had a surgery in the last 3 months or you have planned one in the future?
    NoYes

    Are you allergic to any medication or nutrition?
    NoYes

    Do you have high or low blood pressure?
    NoYes

    Have you ever had an epileptic seizure?
    NoYes

    have you given birth to a baby in the last 6 months or are you pregnant at the moment?
    NoYes

    Are you taking preventive medication?
    NoYes

    What is your intention to start working out?

    What is your personal goal to achieve?

    What kind of sports have you done in the past?

    What do you think are your weaknesses?

    What do you think are your strengths?

    I would like to train ... per week!
    1x per week2x per week3x per week

    TERMS OF CONDITION:
    MudaGym follows a natural way of collaboration with the client and will make always time for them. We strive for quality and a private atmosphere where both parties are comfortable with. We have some rules set to secure our collaboration.

    Article 1.
    The Client grants an order to the Supplier -as the Supplier accepts the Client's order- to carry out the following activities:
    - Personal training
    - Training schedule
    - Advice on training methodology

    Article 2.
    The contractor shall receive from the client a fee incl. VAT for the subscription at MudaGym.

    The contractor shall also be entitled to charge the following costs incurred by him, provided that they are supported by sound documents:
    - Travel expenses;
    - Other costs, after consultation with the client.
    Payment and costs will be invoiced after completion and acceptance of the work by the client.

    Article 3.
    The duration of the contract is for an indefinite period and may be terminated at any time by either party for any reason whatsoever. On the other hand, the hours worked will be charged.

    Article 4.
    The contracted party is not responsible for (physical) injury or injury resulting from the sports activities in question. It is the client's own responsibility to give clear signals to the contractor when he/she detects physical complaints. The contractor in that case will take on an advisory role that can and may be taken on by the client without obligation.

    Article 5.
    Mudagym guards your privacy at all times and will never speak about your situation without your permission. We ask for your permission to consult with your physiotherapist in order to set up an even better training schedule.

    I agree the terms of MudaGym
    NoYes