The Goal Standard Online Training Intake Form

The Goal Standard Online Training Intake Form

Please fill out all of the information below to the best of your ability.
General Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Height & Weight*
Gender (optional)*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Goals and Motivation
What are your PRIMARY fitness goals? (select all that apply)*

Fat LossStrength TrainingToningPerformance TrainingGain WeightOther
Why are these goals important to you right now? *
What are your biggest barriers or struggles when it comes to fitness or nutrition? *
How motivated are you to make a change? *

1

2

3

4

5

1 is Not at All, 5 is Very

Timeline for achieving your goal. *

Rows	8 weeks	3 months	6 months	9 months	1 year
Now

Have you worked with a trainer or coach before? If so, what did you like or dislike about your experience? *
Training History
How long have you been consistently exercising? (2 weeks, 6 months, 1 year, etc..)*
What type of training are you familiar with? (select all that apply)*

Strength TrainingHIITYogaPilatesBootcamp/ ClassCardioSports Performance
How many days per week can you realistically commit to training? *
How much time in your day can you commit to working out?*

30 minutes45 minutes60 minutes
Where will you be training primarily*

HomeGymOther
For In-Home training only. What equipment do you have access to? (List options)
For In-Gym training. What gym do you attend for workouts?

LA FitnessLifetime FitnessCrunchPlanet FitnessApartment GymPrivate/Boutique GymWorkplace gymOther
Nutrition & Lifestyle
How would you describe your current eating habits? Do you follow any specific dietary style? (e.g. vegetarian, pescatarian, keto, etc...)*
How many meals do you typically eat per day?*

1 meal2 meals3 meals4+ meals
Any food allergies, intolerances or dislikes? *
How much water do you drink daily? *
Is nutrition something you feel like you need help or guidance with?*

YesNoMaybe
What is the activity level at your job?*

None (seated only)Moderate (light activity such as walking)High (heavy labor, very active)
Health & Medical
Are you a current cigarette or vape smoker?*

NoYes
Do you have any current or past injuries that would affect your training? *
Do you have any medical conditions or medications that could affect training? *
Schedule & Lifestyle Habits
What does a typical day look like for you? (work, commute, hours, etc...)*
How much sleep do you get on average per night?*

8+ hours5-7 hoursLess than 5 hours
How would you rate your stress level? *

1

2

3

4

5

6

7

8

9

10

1 is Low, 10 is High
What time of day do you prefer to workout? (morning, midday, evening)*
Wrap Up
Which package are you interested in?*

Gold ($250/mo)Silver ($180/mo)Bronze ($110/mo)
What are 3 habits you would like to improve through this program? *
Any additional information you would like me to know as your coach? *
All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all of the information given will be kept confidential by The Goal Standard Fitness.*

I AgreeI Disagree
Thank You for completing this intake form! We will contact you within the next 24-48 hours to discuss next steps and setup a phone consultation. If you have any additional questions please reach out via email.

thegoalstandardtraining@gmail.com
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The Goal Standard Online Training Intake Form

General Information

Goals and Motivation

Training History

Nutrition & Lifestyle

Health & Medical

Schedule & Lifestyle Habits

Wrap Up

Thank You for completing this intake form! We will contact you within the next 24-48 hours to discuss next steps and setup a phone consultation. If you have any additional questions please reach out via email.