Coaching Agreement Template for Cardiac & Heart Health Fitness

Use in FirstRep document

Client Information

Gather essential details about the client for personalized coaching.

Aa Full Name *

Enter your full name

D Date of Birth *

Select your birth date

Aa Emergency Contact *

Enter emergency contact name and number

Medical History

Document any relevant medical history that may affect exercise.

... Heart Conditions *

List any heart conditions diagnosed

... Current Medications *

List all current medications

... Allergies

List any known allergies

Exercise Preferences

Understand the client's preferences for a tailored fitness plan.

vv Preferred Exercise Types *

# Exercise Frequency *

How many times per week?

v Intensity Level *

Goals and Motivation

Identify the client’s fitness goals to keep them motivated.

Aa Primary Fitness Goal *

What is your main fitness goal?

1-10 Motivation Level *

Rate your motivation from 1 to 10

... Barriers to Exercise

What barriers do you face in exercising?

Monitoring and Safety

Ensure safe exercise by monitoring key health metrics.

Y/N Blood Pressure Monitoring *

# Resting Heart Rate *

Enter your resting heart rate

... Signs of Overexertion

Describe any signs of overexertion you’ve experienced

Coordination with Healthcare Providers

Facilitate communication between clients and their healthcare team.

Aa Cardiologist's Name *

Enter your cardiologist's name

Aa Cardiologist's Contact *

Enter your cardiologist's contact number

... Additional Healthcare Providers

List any other healthcare providers involved

Why Use This Template

Structured Approach

Helps both coach and client to stay organized and focused on heart health.

Client Safety

Ensures that all necessary health information is collected for safe exercise.

How to Use

Fill out all sections thoroughly to create a personalized fitness plan.

Review the agreement with your coach to address any concerns.

Customization Tips

Adjust the intensity levels based on individual assessments.
Include specific goals that align with cardiology guidelines.
Personalize the monitoring section based on client health metrics.

Build and send cardiac & heart health fitness templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

What should I do if I feel unwell during exercise?

Stop exercising immediately and consult with your healthcare provider.

How often should I monitor my blood pressure?

You should monitor your blood pressure before and after exercise sessions, as advised by your doctor.