TRAIN WITH MING – IN-PERSON TRAINING INTAKE FORM
CLIENT INFORMATION
Full Name:
Date of Birth:
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Month
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Day
Year
Date
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
What training services are you interested in?
Please Select
1:1 Personal Training
Small Group Strength and Conditioning
Small Group Adult Training
Speed/Agility/Vertical Training
Online Programming
HEALTH & MEDICAL HISTORY
Do you currently have any injuries, pain, or physical limitations? If yes, please explain:
Have you had any previous injuries or surgeries? Please list dates if applicable:
Are you currently taking any medications that may impact exercise performance?
TRAINING HISTORY & EXPERIENCE
How long have you been consistently training?
What types of training have you done in the past?
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Strength Training
Bodybuilding
Powerlifting
CrossFit
Sports Performance
Endurance/Cardio
Group Fitness
Other:
How many days per week do you currently train?
What has worked well for you in the past?
What has NOT worked well for you in the past?
Do you currently follow a structured program? If yes, explain:
GOALS
What are your primary goals?
Fat Loss
Muscle Gain
Strength
Athletic Performance
Mobility/Flexibility
General Health
Injury Prevention
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Other:
What specific goals would you like to achieve in the next 3-6 months?
Do you have a specific deadline, season, or event you are preparing for?
COACHING EXPECTATIONS & COMMUNICATION
What are you hoping to get most out of coaching?
Preferred communication method:
Text
Email
Phone Call
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Anything else you'd like me to know before we begin training together?
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