WPT Fitness Inquiry
Welcome to Wilson Precision Training! We're excited to partner with you on your fitness journey. This intake form helps me understand your health background, fitness goals, and availability so he can design a program built specifically for you. Please answer every question as accurately and completely as possible — all information is confidential. Once you submit this form, you will receive a confirmation email within 24 hours confirming your selected service.
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Full Name
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Email
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Phone Number
Best way to reach you
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Email
Text
Phone call
How did you hear about Wilson Precision Training?
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Instagram
Facebook
TikTok
Friend / Word of mouth
Google
Other
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Which Wilson Precision Training service are you interested in? Program Design - $80 Fitness Coaching - $200 Personal Training
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Please Select
Program Design (One Time)
Online Coaching (Weekly Check-in)
Personal Training
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What is your primary training goal?
Fat loss / body recomposition
Muscle building / hypertrophy
Strength & power
Athletic performance
Military/ Tactical
General health & wellness
Return to training after injury
What Best Describes you?
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Busy Professional
Military/ First Responder
Parent
Student
Retired
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How many days per week can you train?
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3 days/week
4 days/week
5 days/week
6 days/week
Where do you train?
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Commercial Gym
Home
Combo
Other
What equipment do you have access to?
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Full commercial gym
Home gym / garage gym
Dumbbells only
Resistance bands
Bodyweight only
What is your biggest obstacle
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Time
Motivation
Nutrition
Recovery
Travel
Injuries
Other
Describe your preferred training style
Functional, bodybuilding, strength etc. "I like to train functional fitness with a mixture of bodybuilding style training".
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What are your top 1-2 goals for this coaching relationship?
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"I want to gain xxlbs. of muscle" "I want to get to xx% of body fat"
Have you worked with a coach or personal trainer before?
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Yes
No
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What is your primary nutrition goal?
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Fat loss / caloric deficit
Muscle gain / caloric surplus
Body recomposition
Performance fueling
General healthy eating habits
Postpartum nutrition
Medical / condition-specific nutrition
Do you currently follow any specific diet or eating style?
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No specific diet
High-protein / flexible dieting
Keto / low-carb
Vegan / plant-based
Intermittent fasting
Other
Do you currently track your calories or macros?
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Yes - calories and macros
Yes - calories only
I have before, but not currently
No, never tracked
Are you currently exercising regularly?
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Yes, I train regularly
Occasionally
Not currently
I plan to start
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When would you ideally like to start?
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Month
-
Day
Year
Date Picker Icon
Anything else you'd like Coach John to know before he reaches out?
I WILL CHECK MY SPAM EMAIL! (First contact emails typically go to spam)
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YES
ALSO YES
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SECTION A — CLIENT INFORMATION AND GOALS (from Client Intake)
Full Legal Name
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First Name
Middle Name
Last Name
Date of Birth
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Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
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9
10
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12
13
14
15
16
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20
21
22
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25
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28
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31
Day
Please select a year
0
01
011
0111
01111
Year
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Occupation and how physically demanding it is
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Describe your goal and what success looks like in 12 weeks
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Primary Goals
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Strength
Mobility
Weight Loss
Pain Reduction
Energy
Stress Management
Performance
Accountability
Other
Other
What has stopped you from reaching this goal in the past?
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Do you have a specific event or deadline you are working toward?
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Yes
No
Is there anything else you want your coach to know about you, your goals, or your situation?
SECTION A - CLIENT INFORMATION
Client Full Legal Name
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Submit
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