Personal Training Pre-Session Intake Form

90 Day Physique Transformation Coaching Application

Complete this application so I can understand your goals, current fitness level, and determine if the program is the right fit for you.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Age*
Lose body fatBuild muscleRecomposition (lose fat + gain muscle)Improve strength
Current weight*
Target weight or physique goal*
Beginner (0–6 months)Intermediate (6 months–2 years)Advanced (2+ years)
3 days4 days5 days6 days
On a scale of 1-10, how well would you rate your diet?*
On a scale of 1-10, how well would you rate your sleep and stress levels?*
YesNo
Any injuries or limitations?*
Why do you want to transform your physique right now?*
What has stopped you from reaching your goals before?*
On a scale of 1–10 how committed are you to improving your physique?*
The 90 Day Physique Transformation Program includes personalized training, nutrition guidance, weekly progress tracking, and direct coaching support. Clients receive structured workouts, weekly check-ins, and ongoing adjustments to ensure consistent progress.
Under $500/per month$500 – $1,000/per month$1,000 – $2,000/per month$2,000+/per month
YesNoMaybe
Coaching Agreement & Payment Policy
I understand and agree to the coaching payment policy.
Terms of Service
I agree to the coaching terms and expectations
I understand this is a 90 day coaching commitment.
This program is designed for individuals who are serious about improving their physique and committed to completing the full 90-day process.
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90 Day Physique Transformation Coaching Application