Fitness Education Group

Personal trainer medical, EREPS level 5

The highest level for personal trainers. You learn to train clients with chronic conditions safely and to work alongside doctors, physiotherapists and other health professionals.

Prior education
A level 4 personal trainer qualification or comparable diploma.
Typical duration
About 4 to 6 months, including a case study
EREPS
Level 5

What you learn

  • Exercise for conditions such as diabetes, heart and lung disease, obesity and osteoporosis
  • Medical intake interviews and interpreting health information
  • Adapting training for injuries and back problems
  • Working with and referring to healthcare professionals

What you can do with it

  • Train clients with health conditions and more complex needs
  • Work in prevention and rehabilitation-oriented settings
  • Collaborate with GPs, physiotherapists and dietitians
  • Charge higher rates as a specialist and register at EREPS level 5

Who it is for

Personal trainers who want to specialise in health and work with clients that others can not safely train.

What you earn

5

EREPS level 5 · Personal trainer medical

Personal trainer medical

Way of working
Self-employed or own PT studio
Client rate per session
€65 – €95
Sessions per week
20
Revenue per month
€5,635 – €8,235
Average costs
30% – 40%
You work with
Level 4 clients plus clients with medical conditions

Based on 20 PT sessions per week

Amounts from 1 January 2026, based on the NL Actief salary scales and the study Personal Training in Nederland by Peter Wolfhagen and Ronald Wouters (Dutch market).

Courses at this level

4 courses

Previous level: level 4

Frequently asked questions

What is a personal trainer medical?

The highest level for personal trainers. You learn to train clients with chronic conditions safely and to work alongside doctors, physiotherapists and other health professionals.

What prior education do I need?

A level 4 personal trainer qualification or comparable diploma.

Which clients do you work with?

Clients with health conditions such as diabetes, heart and lung disease, obesity, osteoporosis or back problems, often in collaboration with doctors and physiotherapists.

What does a personal trainer medical earn?

In the Netherlands a self-employed trainer at this level usually charges €65 to €95 per session. With 20 sessions a week that is €5,635 to €8,235 revenue per month, of which 30 to 40% goes on costs.

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