Inneraesthetics Fitness

Inneraesthetics Fitness

Your goals matter—whether you’re ready to lose weight, build curves, or feel strong in your own skin. Fill this out so I can meet you exactly where you are, and build a plan that fits you.This is your season to glow from the inside out. ✨
✨ Meet Your Trainer Hi I’m Skylar! — a faith-led trainer who believes that true transformation starts within.This journey isn’t just physical. It’s spiritual, emotional, and mental. I’m here to help you build a body that feels strong, but more importantly, a mindset rooted in God’s truth — not the world’s standards. Whether your goal is to lose, gain, or maintain your weight, I’ll walk with you through it in grace and intention.We’ll honor your temple, grow your discipline, and remind you daily that you are fearfully and wonderfully made. Let’s build strength that glorifies Him — from the inside out. 💛
Client Name

First NameLast Name
Birth Date

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Phone Number
Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Format: (000) 000-0000.
Please state if you have current/previous health diseases/issues.
Please state whether you take any medication.

Health & Lifestyle

Rows	Yes	No
Have you had any surgery since one year?
Are you using any additional vitamin or supplements?
Are you tracking your daily food intake?
Do you feel pain while doing exercises?

At which frequency you eat at night?

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0 is Never, 5 is Always
At which frequency you eat breakfast?

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0 is Never, 5 is Always
What is your rate for your nutrition?

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0 is Poor, 5 is Excellent
How often can you exercise per week?
How many months will you do exercise?
StressDepressionBoredomHappinessHabitAnnoyance
Development of musclesReducing the stressLosing body fatIncreasing the motivationTraining for an event/specific sportsOther
Release and Acknowledgement
I, {clientName}, hereby acknowledge that the information I've given above is complete and accurate. I understand all the risks and I accept all the responsibility for any undesired situations during training. I am informed that my information in this form will be kept confidential.

The trainer has informed me that I am the only responsible party both for all the injuries during the fitness program and incorrect information. I release and discharge the trainer, from any disclosure of my personal information in this Fitness Client Intake Form.

If any of my health, lifestyle or personal information/situation that may prevent my training is changed, I guarantee that I will inform the fitness trainer immediately.
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Client Signature
Date

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Release and Acknowledgement