Operational Strength — Client Intake Form

Operational Strength — Client Intake Form
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Age
years
Weight
lbs
Height
cm
Gender
What is your primary goal?
How would you describe your current fitness level?
How many days per week can you train?
How long can your training sessions be?
What equipment do you have access to?
What kind of training have you done before?
Are you currently exercising regularly at least 3 times per week?
Have you trained with a personal trainer before?
If you have any injuries or physical limitations your coach should know about, please list them.

TImeline for achieving your goal.

Rows	8 WKS	12 WKS	24 WKS	48 WKS	1 YR
NOW

Are you experiencing any stresses or motivational problems?
What following goals does best fit in with your goals?
Please list any physical activities you participate in outside the gym.
To make sure we're the right fit, our online coaching programs range from $299/month to $3,200/year. Which best describes your situation?
Anything else you want your coach to know about your lifestyle, schedule, or training history?
If you have any diagnosed health problems list the condition(s).
Should be Empty: