1. Jason Murray PT – Client Intake & Health Considerations

1. Jason Murray PT – Client Intake & Health Considerations

First client onboarding form for Jason Murray PT. Collect personal details, goals, training preferences, lifestyle context, and health/exercise considerations before continuing to the APSS Client Screening form.
About You
Full Name

First NameLast Name
Email Address
example@example.com
Mobile / Contact Number
e.g. 0435 529 145
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Residential Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Confirmation
Occupation
Why You’re Here
Sex
Typical Daily Activity Level
What brings you to personal training at this stage?
Goals and Motivation
Main fitness goals
Additional fitness goals
Add any other goals you would like to work on.
Ideal timeframe to achieve this goal
Current fitness level
Confidence in the gym
Motivation to make changes
Readiness to start now
Why is this goal important to you?
Training Background & Preferences
Worked with a personal trainer or coach before?
Exercises and training styles you enjoy
Additional training styles you enjoy
Preferred coaching format
Additional preferred training days
Additional preferred times
Preferred training day(s)
Preferred time of day
Preferred training environment
Current exercise routine
Past training history and previous sports or activities
Desired training frequency per week
Preferred session length
Lifestyle & Consistency
What are your biggest barriers to consistency?
Additional barriers to consistency
Additional accountability or support preferences
How would you rate your sleep quality?
How stressed do you feel on average?
What practical factors affect your routine?
What kind of accountability or support helps you most?
How would you describe your daily hydration habits?
Do you currently track food or follow a specific eating pattern?
Health & Exercise Considerations
Formal pre-exercise screening is completed separately using the APSS.
Injuries, surgeries, medications, or other health considerations relevant to exercise
Do you have any accessibility or support needs?
Acknowledgment and Privacy Consent

I confirm this information is accurate to the best of my knowledge and understand it will be used to assess exercise suitability and plan services confidentially. I consent to Jason Murray PT collecting, using, storing and handling the personal and health information I provide for pre-exercise screening, exercise safety, service delivery, administration, legal or insurance obligations, and authorised referrals where applicable, in accordance with the Jason Murray PT Privacy Policy. This information will not be used for marketing purposes.
Please describe your accessibility or support needs
Anything else you'd like to add
Questions before getting started
Should be Empty:

1. Jason Murray PT – Client Intake & Health Considerations

About You

Why You’re Here

Goals and Motivation

Training Background & Preferences

Lifestyle & Consistency

Health & Exercise Considerations