Personal Training Client Intake Form

1:1 Coaching Application Form

Your Best Days Fitness Training
These questions will let me get to know more about you & decide if we will be a good fit for each other! My online training Includes:

- Customized Training Program designed for you & your specific goals

- Macronutrient calculations & nutrition coaching

-Online Messaging Support

-Weekly video check ins

-Quarterly reassessment

- Workout app access to track workouts, weight, goals, & nutrition all in one place!

- 3-12 month contracts available
Part 1. Basic information
Full Name

First NameLast Name
Gender
Age
years
Height
Weight
What time zone are you located in?
What is your Instagram handle?
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Part 2. Lifestyle Information
What do you do for a living?
Whats the activity level at your job?
Do you follow a regular working schedule, do you work days, afternoon or nights?
Part 3. Medical and Health Information
If you have any diagnosed health problems list the condition(s).
If you are on any medications, please list them.
If you have any injuries, please list them.
Do you suffer from diabetes, asthma, high or low blood pressure?
Please list your favorite foods & types of cuisine!
Please list your favorite foods & types of cuisine!
Part 4. Goals
Are you a current cigarette smoker?
Your current diet could be best characterized as:
Please rate your readiness for change.
What following goals does best fit in with your goals?
Can you further explain your goals?
What have you tried in the past to reach his goal?
what is your experience with tracking macros?
How prepared are you to invest time, finances, and energy into reaching your goals?
Are you ready to quit making excuses & stay disciplined in reaching your goals?!

Ideal timeline for achieving your goal.

Rows	8 WKS	16 WKS	24 WKS	32 WKS	40 WKS	1 YEAR
NOW

How often are you willing to train a week to reach your goal?
Please rate your motivational level to do what it takes for reach your goal.
Are you currently excersising regulary (at least 3x per week)?
What are your expectations on me as your Personal Trainer?
What are your favorite types of exercises and/ or favorite style of training? Ex: Full Body, HIIT, Strength, Endurance (high repetitions)
What are you least favorite exercises? Any exercises you do not want to do or cannot do? Why?
Are there any exercises in particular you would like to learn how to do or get better at doing?
Why is it important to YOU to make these changes NOW?
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1:1 Coaching Application Form

Part 1. Basic information

Part 2. Lifestyle Information

Part 3. Medical and Health Information

Part 4. Goals