Client Intake Form
Fitness Plans
Name
First Name
Last Name
Email
example@example.com
Age:
Current Weight
Occupation (to assess daily activity level):
What are your main fitness goals? (Muscle building, fat loss, strength gain, endurance, general health, etc..)
What is your current fitness level?
Please Select
Beginner
Intermediate
Advanced
Are you training for a specific event or competition?
Please Select
Yes
No
What setting do you currently train in?
Please Select
Home Gym
Commercial Gym
At home with limited equipment
If you train at home, please list all available equipment (if you train at a gym just put NA):
How many days per week can you commit to working out?
How much time can you dedicate to each training session?
What do your current training routine look like? (How often do you train, what exercises do you do, etc.) If you're not currently working out, put NA.
Do you do any additional physical activities (sports, hiking, pickleball, cycling, etc.)? If none, put NA.
Are there any exercises you love/hate? Please list below or simply put NA.
Do you have any current injuries or past injuries that affect your training? Please list as much detail as possible. If does not apply put NA.
Are you currently tracking your nutrition to support your fitness goals?
How much accountability do you need? (if you are purchasing a one-time fitness plan you will leave this box blank)
Submit
Should be Empty: