Client Intake Form
Personal Info
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current Weight
Training/Fitness Information
What are your current fitness goals?
Have you worked with a trainer in-person or online before?
Do you have any injuries, aches, pains or medical conditions?
What does your current fitness routine look like?
What equipment do you have access to?
Any Other Information I Should Know!
Nutrition Information
What are your nutrition goals?
What does your current diet look like?
What are 3 things you like about your eating habits?
What are 3 things you would like to change about your eating habits?
Do you have any allergies/intolerances or foods you hate?
How many meals do you currently eat in a day?
How many litres of water do you drink a day?
How much caffeine do you consume daily?
How often do you consume alcohol?
What are your go to food choices?
Any other information I should know!
Submit
Should be Empty: