Onboarding Questionnaire

Welcome to Team CCF!
Congratulations! If you're reading this page then you've been accepted into Team CCF!

Below we will request all the information we need from you in order to plan your success.

We will request the following documents (if you have them)

1. Current Training Program

2. Current Meal Plan or Macros + Food Diary

3. Front, Side and Back Progress Photos

Please be sure to add your name to the document files you upload (ie. Your-Name-Training)

These documents can be uploaded in png, jpg, jpeg, doc, docx, pdf, txt file formats that are no bigger than 16MB.

If you run into any issues uploading files please contact us so we can help.
*
- Ok, lets get started!

Personal Information
Please complete the responses below as accurate as possible.
Name*
First Last
Email*
Phone*
Height:*
Age:*
What is your current weight?*
Daily activity level: (choose one)*

Goal Mapping
Please take the time to provide me with some information that best describes what you are looking to achieve.
Describe your goals in detail. What do you want to get out of this process, and where do you see yourself in 6 months? 12 months?*
What areas of your body are most important for you to see change in?*
On a scale of 1-10 (10 being most important) how important is it for you to feel strong?*
Please enter a number from 0 to 10.
On a scale of 1-10 how important is your body composition to you? (ie how you look in terms of muscle tone and body fat)*
Please enter a number from 0 to 10.
On a scale of 1-10 how important is your scale weight to you?*
Please enter a number from 0 to 10.
On a scale of 1-10 how important is your health to you?*
Please enter a number from 0 to 10.

Training & Medical History
Please complete the responses below, best describing your training and medical information and history.
Do you have any limitations with your training (injuries)?*
How long have you been weight training for? (not including group classes)*
What is your weekly exercise regime like currently? Please include type of exercise, duration and # of times per week*
Please upload any training programs you've utilised over the last 6-12 months
Drop files here or

Accepted file types: png, jpg, jpeg, doc, docx, pdf, txt, Max. file size: 80 MB.
How many days a week can you commit to training in the gym?*
What are your favorite exercises to do in the gym?*
What are your least favorite exercises?*
Do you enjoy cardio? If so, what kind specifically? (ie. HIIT, stepper, walks)*
How many steps on average do you get in per day (if known)?*
Do you have any medical conditions that may limit your training (ie. arthritis, high/low blood pressure)*
Do you take any medication (either prescription or non-prescription)?*
Please list any supplements you're currently taking (include brands and dosage of each)*
What is your Blood Pressure? (ensure this is taken at least after 7 mins of being seated and relaxed, and not after having caffeine)*

Nutrition
Please complete the sections below on nutrition, best describing your current activities.
Do you have any allergies or food intolerances you're aware of?*
Do you have any dietary requirements/preferences? (ie. Gluten free, vegetarian, vegan)*
Describe what your meals would typically look like throughout the day. If you currently weigh your food please include portion sizes as well in grams) Ie. Breakfast = 40g muesli & 150g yoghurt. Please include all meals and snacks as well as beverages that contain calories ie. soda, juice, lattes)*
Please upload any meal plans you've followed over the last 6-12 months. If tracking macros, please provide a summary of your macros as they've progressed over the last few months
Accepted file types: png, jpg, jpeg, doc, docx, pdf, txt, Max. file size: 80 MB.
What liquids do you typically consume?*
If you were creating your own heathy eating plan, what foods would you choose to eat over the week?*
Do you have a sweet tooth or prefer savoury foods?*
What foods do you not enjoy and would prefer not to eat?*
Have you tracked your food intake using an app such as MyFitnessPal before?*

Rate your Health & Fitness
Rate yourself on the following health & fitness factors on a scale of 1-10 (1 being lowest, 10 being highest)
Strength*
Cardiovascular Endurance (Fitness)*
Core Strength*
Eating Habits*
Balance/Coordination*
Level of Stress*
Daily Energy Levels*
Overall Happiness*

Your Habits
Please complete the following responses to best describe your daily habits
How much water do you drink per day?*
Do you drink alcohol? If yes, include what you generally drink, how much and how frequent)*
How many hours of sleep do you get on average each night?*
How would you describe your quality of sleep?*
What time do you normally go to sleep and wake up?*
How many meals a day do you currently eat?*
Do you always eat breakfast?*
What is your weakness when it comes to food?*
Do you crave sugary foods?*
How often do you experience bloating or digestive difficulties?*
What are the 3 biggest stressors in your life?*
How would you describe your mindset generally?*
On a scale of 1-10, how serious are you about achieving your goals?*
Please upload current progress photos
(front, side and back)
*
Drop files here or

Accepted file types: png, jpg, jpeg, Max. file size: 80 MB, Max. files: 4.

Online Coaching Agreement

Carina Chirila Fitness Pty Ltd (ABN: 92 616 303 621) provides both in person and online personal training and coaching services.

Any reference to “Carina Chirila Fitness Pty Ltd”, “we”, “our”, “us” or similar words throughout this agreement includes our directors, employees, agents, presenters, associates, successors and assigns. Any reference to “you’ or “your” or similar words includes you, your successors and assigns.

When you purchase an online coaching service by Carina Chirila Fitness Pty Ltd you agree to be bound by these terms and conditions.

Online Coaching packages:

Package

Description

Foundations for Life

Nutrition & Training, with Weekly Check-ins

Agreement & Pricing Details

· This 6-month agreement starting from the date you receive your initial program.

· A once-off fee of $495.00 for the initial month including program establishment.

· A recurring monthly program fee of $350.00.

· Payments are in advance, and debits will be processed monthly on your nominated billing day.

Package Inclusions

· Individualised and progressive online training program that suits your goals and is specific to your orthopaedic profile.

· Individualised nutrition coaching via flexible dieting (macro coaching)

· Detailed weekly check-ins and progress photo submission.

· 10% Discount on supplements at Fatburnersonly.com.au

· Access to private client Facebook group

Foundations for Life

Nutrition only, with Weekly Check-ins

Agreement & Pricing Details

· This 6-month agreement starting from the date you receive your initial program.

· A once-off fee of $295.00 for the initial month including program establishment.

· A recurring monthly program fee of $200.00.

· Payments are in advance, and debits will be processed monthly on your nominated billing day.

Package Inclusions

· Individualised nutrition coaching via flexible dieting (macro coaching)

· Detailed weekly check-ins and progress photo submission.

· 10% Discount on supplements at Fatburnersonly.com.au

· Access to private client Facebook group

Foundations for Life

Training only, with Weekly Check-ins

Agreement & Pricing Details

· This 6-month agreement starting from the date you receive your initial program.

· A once-off fee of $295.00 for the initial month including program establishment.

· A recurring monthly program fee of $200.00.

· Payments are in advance, and debits will be processed monthly on your nominated billing day.

· PACKAGE INCLUSIONS

· Individualised and progressive online training program that suits your goals and is specific to your orthopaedic profile.

· Detailed weekly check-ins and progress photo submission.

· 10% Discount on supplements at Fatburnersonly.com.au

· Access to private client Facebook group

1. You must be over the age of 16 years to participate in any of our coaching packages.

2. By signing up for our online coaching service, you confirm that you have read, understood and agree to these terms and conditions including our release, disclaimer and indemnity.

3. Individual components of an online training package are not redeemable, transferable, or interchangeable if you are unable to use them during the term of your chosen package.

4. We currently offer in-person personal training (PT) packages available on the Gold Coast. In-person PT packages differ in price, discounted sessions are available exclusively to active online coaching clients. Please enquire if you’d like to do any in-person training. All in-person PT sessions in your package will be delivered at EMF Performance Centre Robina, 5034/19 Robina Town Centre Drive, Robina QLD 4230.

Health and Safety

5. Training is a physically strenuous and demanding activity and is only suitable for people who are in good physical health.

6. You are responsible for ensuring that you are physically fit and in a condition that will allow you to participate fully in any training session. You should not participate in training sessions if you suffer any physical or health issues that may be badly affected, or if this means going against any advice provided to you by your health practitioner.

7. You should seek specialist advice suitable to your circumstances if you have any concerns regarding your health before, during or after your participation in a training session.

8. We make all reasonable endeavours to ensure that the activities recommended by Carina Chirila Fitness Pty Ltd are safe, however it’s important to note that our activities do carry some inherent risks of personal injuries. Particularly, injury during fitness training may arise from:

· executing strenuous moves.

· incorrect usage of equipment or techniques by you.

· fatigue, pain, frustration, and/or anxiety; or

· physical exertion and increased heart rate.

This list is not exhaustive, and there are other risks you may have not anticipated which may result in injury including but not limited to sprains, strains, scratches, abrasions, bruises, muscle pulls or tears, bone fractures or breaks, injuries to joints, spinal injury, head injury, hernia, dizziness, paralysis, or death.

Release, Disclaimer & Indemnity

9. You acknowledge that there is no guarantee given that you will achieve specific results from participating in online coaching.

10. You acknowledge that the results achieved through your participation in online coaching are directly correlated to your consistency and your adherence to the programming.

11. By enrolling in an online coaching package, you acknowledge and agree that:

· Carina Chirila Fitness Pty Ltd will not be liable for any loss, damage or injury of any kind sustained by you whilst participating in our program or any activities suggested by the program (collectively “Program Activities”).

· You RELEASE Carina Chirila Fitness Pty Ltd from all liability for any loss, damage, injury or expense suffered by you or your next of kin, resulting from your participation in Program Activities.

· You will INDEMNIFY and hold Carina Chirila Fitness Pty Ltd harmless against any and all liability for personal injury, or property damage suffered by you or any third party as a result of your participation in Program Activities.

· You ASSUME and ACCEPT all possible risks, dangers and hazards arising out of or associated with your participation in Carina Chirila Fitness Pty Ltd including but not limited to personal injury, illness, negligence economic or property loss, even if such risks are caused or contributed to by the negligence of Carina Chirila Fitness Pty Ltd.

12. You release forever Carina Chirila Fitness Pty Ltd from all and any responsibility or liability for any losses claims or demands that may directly or indirectly occur as a result of you using the information obtained through the program, to the fullest extent permissible by law.

Our responsibilities

13. We will provide online coaching packages in a professional and competent manner.

14. We will provide sessions designed to support your nominated fitness goals.

Photographs and video

15. You grant Carina Chirila Fitness Pty Ltd permission to use any photographs or videos provided by you, together with your name and any testimonial.

16. You agree that Carina Chirila Fitness Pty Ltd may use photographs or video and your details on its website or in its program materials for marketing or the creation of commercial products. You agree that no compensation will be due and therefor payable to you by Carina Chirila Fitness Pty Ltd at any time for the use of your image or personal information in such purposes.

Payment, cancellation and refunds

17. You agree that if you purchase an online coaching package you are responsible for full payment of fees for the entire package, regardless of whether you comply with the programming, coaching sessions/calls and seminars available. There will be no refunds, discounts, substitutions or replacements if you fail to attend. It is your responsibility to make time to meet your own training commitments.

18. Your payments will be processed via PaySmart our payment provider. Payment methods via this facility include Credit Card (Visa/Mastercard & AMEX) or Direct Debit from your nominated Bank account. A Credit Card surcharge of 2.2% applies.

19. You will be asked to enter into a direct debit agreement with our nominated payment provider, PaySmart at the time you sign up for services. The terms of that agreement will explain how the payment provider manages dishonoured payments and expired cards.

20. If any payment is dishonoured for any reason you agree to pay any dishonour fees incurred by Carina Chirila Fitness Pty Ltd, as well as any costs and disbursements incurred by Carina Chirila Fitness Pty Ltd in pursuing the debt, including but not limited to, debt recovery fees, collection agency costs, and legal fees where applicable.

21. If you wish to cancel your service prior to the completion of the initial 6-month term, please note you will incur a cancellation fee. The cancellation fee will be calculated based on the number of remaining months on your initial term (six months), multiplied by your monthly service fee.

22. To cancel your service following the initial 6-month period you are required to provide 30 days’ notice from your last payment debit date.

General

23. Please ensure you choose the coaching package appropriate to your needs. During the initial 6 month period your plan cannot be changed, however after the initial 6 months you may upgrade or downgrade your package and continue on a month-to-month basis.

24. Any time or other indulgence granted by either party will not in any way amount to a waiver of any of rights or remedies that party is entitled to under these terms and conditions.

25. These terms and conditions are governed by the laws of Queensland, Australia and you agree to be subject to the jurisdiction of the courts of Queensland in the event of any dispute between the parties.

26. If any of these terms and conditions are determined to be invalid or unenforceable, then the invalid or unenforceable provision will be deemed replaced by a valid, enforceable provision that most closely matches the intent of the original provision and the remainder of the terms and conditions will continue in effect.

27. Carina Chirila Fitness Pty Ltd may update these terms and conditions from time to time and will provide a copy of the updated terms with 30 days’ notice any changes that may be applicable to you.

28. Through the provision of online services or initial consultation, by default you agree to and accept these terms and conditions contained within this entire document in full, regardless of whether you have signed this document or not.

Acknowledgement & Consent*
- By ticking this box, I acknowledge that I have read, understand and agree to this agreement. I understand that this document is legally binding, and I confirm that I acknowledge and agree to the above Online Training Agreement.
Name*

Please enter your full name
Date*
On the 09/09/2024 you digitally signed this agreement, your IP address (157.55.39.60) has been recorded with this form submission via the following website URL: https://www.carinachirilafitness.com.au/onboarding-questionnaire/
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Samples Requested

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Step 1 of 8

Welcome to Team CCF!

Personal Information

Goal Mapping

Training & Medical History

Nutrition

Rate your Health & Fitness

Your Habits

Please upload current progress photos

Online Coaching Agreement

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