Screening forms

Please select the following screening form which is relevant to the service you will be receiving.

The information collected will be used only for the purpose of understanding the level of support you require, the changes you wish to make and any health conditions that may require a modified program designing for you, and will not be disclosed to any third party without your consent.

We reserve the right to request a doctor’s clearance before allowing you to receive personal training with Kate Campbell Fitness.

If you are requiring Personal training face to face, online or a self directed exercise plan please fill out the personal training form with all sections filled out in as much detail as possible, to ensure we develop the right program for you.

If your condition changes it is important to inform a member of staff who can update your records.

Please fill out all sections with *

Forms will be sent back to us for review before we chat to you.

Please note when completing your date of birth the month comes first followed by the day. ‘State’ is South Yorkshire if you are local.