Client Intake Form

Client Intake Form

Register your details to start your personal training journey
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What is your primary goal?
Why is this goal important to you? Do you have a specific event coming up?
Do you have timeline expectations?
What is your experience level in the gym?
What does your current workout routine look like?
What equipment do you have access to? Will you be working out at a gym, at home, etc.?
Do you have any medical conditions, limitations, or injuries the trainer should be aware of?
Do you have any experience tracking macros?
Are you currently following any macros? If so, what are they?
Walk me through a typical day of your eating habits:
How many hours of sleep do you get each night?
Briefly describe your exercise history and current routine.
Preferred training times (select all that apply)

Other
What has held you back from reaching your goals in the past?
What do you feel you need most from our trainers? Support, motivation, education, etc.
On a scale of 1-10, how ready are you to commit?
Which coaching tier are you interested in?
How soon would you like to start?
Is there anything else you would like your trainer to know?
Should be Empty: