Intake Form for Personal Training with Candice K

  • Personal Training Intake Form with Candice K

    This form helps me understand your needs, goals, and anything that matters to your health and fitness journey. Your answers are confidential and will help in our discussion to build a personalized program that supports you.
  • Best way to contact you after completing this*

  • Your Fitness Background

    (est. 1 min to complete)
  • What describes your current situation? Pick up to 3 options*
  • Which of the following describes your training consistency in the past 3 months?*
  • What workouts have you tried in the last 3–6 months? (Select all)*

  • Strength & Capacity Baseline

    (est. 1 min to complete) These help me design a programme that matches your exact starting point.
  • How many push-ups can you do with good form (full or knee)?*
  • How long can you hold a forearm plank?*
  • How many squats can you do in a row?*

  • Equipment & Environment

    (est. 1 min to complete)
  • Where will you train during the trial?*
  • Equipment you have access to:*

  • Injury, Safety & Confidence

    (est. 1 min to complete)
  • Do you currently have any injuries or areas of discomfort?*
  • Are there any exercises you avoid?*
  • Do you feel comfortable recording short videos for form checks?*
  • How confident do you currently feel performing exercises on your own?*

  • Goals & Priorities

    (est. 2 min to complete)
  • Which areas matter most to you right now? (Choose up to 3)*
  • What kind of support do you think you will need from me as your coach?*
  • When would you like to start your program?*

  • Health Disclaimer & Medical Clearance

  • Before beginning any new exercise program, it’s important to ensure it’s safe for you.

    If you have any medical conditions, recent injuries, or health concerns that could affect your ability to exercise safely, please speak with your doctor or healthcare provider and attain medical clearance before starting personal training.

    By submitting this form, you acknowledge that the information you’ve shared is accurate to the best of your knowledge, and that you take responsibility for seeking medical advice if needed. If I ever have concerns about your safety or wellbeing, I may gently suggest a doctor’s clearance before continuing.Your health and comfort come first.

  • Please select your preferred time for a free 45-minute consultation call to find out if personal training with me is right for you.
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