Home
About
Training Services
Personal Training
Endurance Coaching
Testimonials
New Client Intake Form
Get Started
Home
About
Training Services
Personal Training
Endurance Coaching
Testimonials
New Client Intake Form
Get Started
Training Services
Personal Training
Endurance Coaching
Testimonials
New Client Intake Form
Name
*
First Name
Last Name
Email
*
Phone Number
*
Date of Birth
*
Emergency Contact (Name and Phone)
Current Occupation
Have you ever had any injuries or surgeries? If so, please describe:
Do you have any existing medical conditions? If so, please describe:
Are you currently taking any medications? If so, please list them:
Are you currently taking any vitamins or supplements?
What are your primary fitness goals? (e.g., weight loss, muscle gain, improved flexibility, increased endurance, etc.)
Are there specific events or goals you are working toward?
On a scale of 1 to 10, how motivated are you to achieve your fitness goals?
How would you describe your current activity level? (Sedentary, moderately active, highly active)
How many hours of sleep do you typically get per night?
Describe your current eating habits and diet preferences.
Do you have any dietary restrictions or preferences (e.g., vegetarian, vegan, gluten-free)?
Have you engaged in any regular physical activity or exercise in the past? If so, please describe.
Are you currently participating in any physical activities or sports? If yes, please specify.
How many days per week are you willing and able to commit to your fitness routine?
Do you have any specific fitness preferences or dislikes?
Is there any equipment or exercise you particularly enjoy or want to avoid?
Do you have any specific concerns or questions regarding your fitness/ training that you'd like to discuss?
Is there anything else you would like to share about your fitness goals or health history?
Thank you!
