• New Client Training Intake Form

    Share your details, health history, injuries, goals, and coaching preferences so we can plan your training safely.

  • Personal Details

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Health & Medical Screening

  • Have you ever been told by a doctor or other health professional that you have a heart condition?*
  • Do you ever experience chest pain during exercise or at rest?*
  • Do you ever experience dizziness, fainting, or unexplained shortness of breath?*
  • Have you ever been told that you have high or low blood pressure?*
  • Do you have diabetes or any condition that affects your blood sugar?*
  • Have you been diagnosed with any medical condition that may affect your ability to exercise?*
  • Are you currently taking any medication that may affect exercise performance, heart rate, blood pressure, or recovery?*
  • Have you had any recent surgery, hospitalisation, or significant illness?*
  • Are you currently pregnant or have you recently given birth?*
  • Has a health professional ever advised you to avoid or modify exercise?*

  • Injuries & Physical Limitations

  • Do you currently have any injuries or physical limitations?*
  • Are you currently seeing a physiotherapist, chiropractor, osteopath, or other health professional?

  • Exercise History

  • Current activity level*
  • What types of exercise are you currently doing?
  • Have you previously worked with a personal trainer or strength coach?

  • Goals

  • Secondary goals

  • Lifestyle & Recovery

  •
  • Time Available per Training Session*

  • Coaching Preferences

  • What do you want the most help with?*
  • What type of coaching motivates you most?*

  • Final Declaration

  • Declaration
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Agreement*
  • Should be Empty: