1:1 Personal Training Client Intake Form
Share your goals, training habits, lifestyle, and nutrition so we can build a plan that fits your real routine.
Basic Details
Full Name
*
First Name
Last Name
Age
*
Gender
Female
Male
Non-binary
Prefer not to say
Other
Height
*
Current Weight
*
Estimated Body Fat Percentage
Occupation
*
City
*
Goals
Main Goal
*
Fat Loss
Muscle Gain
Body Recomposition
Strength
Performance
Aesthetics
General Fitness
Other
Ideal Physique / Weight Goal
*
Target Date or Event
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What Success Would Look Like
*
Why This Goal Matters
*
Training
Previous gym/training experience and duration
*
Current training
*
Realistic training days per week
*
Preferred training time
*
Training location
*
Gym
Home
Outdoor
Hybrid
Other
Available equipment
Exercises you enjoy
*
Exercises you dislike
*
Health & Safety
Please answer honestly. This information is used to keep your training appropriate. I am not a medical professional and may recommend medical clearance when appropriate.
Current injuries, pain, or limitations
*
Previous surgeries or major injuries
*
Diagnosed medical conditions
*
Regular medications
*
Has a doctor or physiotherapist advised you to avoid or modify exercise?
*
Yes
No
If yes, please provide any details
Any other health information relevant to training
*
Lifestyle
Work/Study Schedule
*
Typical Daily Activity / Steps
Hours of Sleep
*
Stress Rating
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Travel or Work Commitments Affecting Consistency
*
Nutrition
Walk me through everything you ate and drank yesterday, including approximate timings.
*
Dietary preference
*
Vegetarian
Eggetarian
Non-vegetarian
Other
Allergies or intolerances
*
Foods you don't eat
*
Are your meals mostly home-cooked or outside?
*
Mostly home-cooked
Mostly outside
A mix of both
Who usually cooks or controls meals at home?
*
How often do you eat or order food outside?
*
What is the hardest meal or time of day for controlling food?
*
Foods you do not want to give up
*
Consistency & Accountability
What has stopped you achieving this goal before?
*
Biggest barriers
*
Confidence to follow the plan
*
1
2
3
4
5
6
7
8
9
10
Preferred check-in frequency
Please Select
Weekly
Fortnightly
Monthly
As needed
Other
What support do you expect from your trainer?
*
Final
Anything else your trainer should know
Consent to confirm information is accurate and acknowledge that medical or physiotherapy clearance may be recommended when appropriate
*
I confirm the information provided is accurate and complete.
Submit
Should be Empty: