Personal Training Intake Form
Thank you for your interest in Personal Training. This form is designed to help create a safe, personalized, and effective training experience tailored to your goals, lifestyle, and training preferences.
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Full Name
*
Date of Birth
*
-
Month
-
Day
Year
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Phone Number
*
Email Address
*
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What are your primary fitness goals? (Check all that apply)
*
Weight Loss
Strength Building
Muscle Gain
Improve Endurance
Improve Mobility/Flexibility
General Health & Wellness
Athletic Performance
Other
What has prevented you from reaching your fitness goals in the past?
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Current Activity Level
*
Sedentary
Lightly Active
Moderately Active
Very Active
How many days per week do you currently exercise?
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0
1-2
3-4
5+
Have you worked with a Personal Trainer before?
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Yes
No
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How many days per week are you looking to train?
*
1x/week
2x/week
3x/week
4x/week
What days can you train?
*
Monday
Tuesday
Wednesday
Thursday
Friday
What time of day are you typically available?
*
Early Morning (5am–8am)
Morning (8am–11am)
Midday (11am–2pm)
Afternoon (2pm–5pm)
Evening (5pm+)
Is there anything else you’d like me to know before we begin training?
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