TRAIN WITH MING – ONLINE TRAINING INTAKE FORM
CLIENT INFORMATION
Full Name:
Date of Birth:
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Month
-
Day
Year
Date
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
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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What types of training have you done in the past
Strength training
Strength and Conditioning/Sports Performance Training
Bodybuilding
Powerlifting
Crossfit
Endurance/Cardio
HIIT training
Yoga/Pilates
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?
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?
EQUIPMENT & TRAINING ACCESS
What type of training facility do you have access to?
Commercial Gym
Home Gym
School/Team Facility
Apartment Gym
Other:
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Please check all equipment you currently have access to:
Equipment
Barbells
Bumper Plates
Dumbbells
Kettlebells
Resistance Bands
Cable Machines
Selectorized Machines
Bench Press
Squat Rack
Pull-Up Bar
Turf Space
Sleds
Plyometric Boxes
Cardio Equipment
Medicine Balls
Trap Bar
Smith Machine
Leg Press
Other:
Do you have space for sprinting, jumping, and conditioning equipment?
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COACHING EXPECTATIONS & COMMUNICATION
What are you hoping to get most out of coaching?
Preferred communication method:
Preferred communication method:
Text
Email
Phone Call
App Messaging
Anything else you'd like me to know before we begin training together?
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