Client Intake Form
Personal-Training Coach, Miami Area & Virtual
Full Name
*
First Name
Last Name
Phone Number
*
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
What goal/s do you hope to achieve through our personal training and coaching sessions?
Current or previous medical issues - are you currently experiencing any pain OR recovering from a recent injury? If so, have you sought medical help for this and have you been cleared by your doctor for exercise?
Do you have exercises assigned to you by a physical therapist or other specialist? If so, would you like to implement those into our workouts?
Tell me about your health and fitness history (Trainer before? Other classes? Diets/nutrition?). What worked and didn't work in the past? What type of exercise do you enjoy doing?
Signature
Submit
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