New Client Intake Form
Hey! Thanks for your interest in training in person with me! All new clients are required to fill out this intake form before beginning with me. I cannot wait to get you started on reaching your goals, however spaces and availability are limited and I can only take on so many people at once. After this form has been filled out I will reach out to with my current availability and see what I can do for you!

All new clients are required to fill out this intake form before beginning with me. I cannot wait to get you started on reaching your goals, however spaces and availability are limited and I can only take on so many people at once. After this form has been filled out I will reach out to with my current availability and if I am able to accept you then we will set a brief consultation call!      
  
Are you seeking in person or online training? *
Required
Name *
Email *
Phone number *
Age *
Sex *
Job Occupation *
Average steps per day
Height *
Weight *
Goal body weight *
Are you currently working out? *
If yes, what does your current routine look like? *
If yes, rate your exercise intensity *
Walk into the gym and just leave
Always giving it 110% (Can occasionally overdo it)
If no, what has been holding you back? *
Have you worked out in the past? *
Have you worked out with a trainer before? *
What are your short and long term goals *
Why are these goals important to you *
How far do you feel you are from reaching these goals *
Do you have any current or past injuries? Any surgeries or limitations? *
Has a medical doctor ever diagnosed you with a chronic disease, such as coronary heart disease, hypertension, high cholesterol, diabetes, etc.? If yes, please explain *
Are you currently taking any medication? If so, please list and what they are for *
Rate your ability to perform strength training exercises *
Never touched a weight
Pro lifter
Rate your ability to perform cardio exercises *
No cardio at all
Cardio all day
How many meals per day are you currently consuming *
What does a breakfast, lunch, and dinner look like *
what are your current eating weaknesses *
How motivated are you to reach these goals *
I'm not
Highly
Rate your accountability *
Bad
I'll never miss a session
How many days per week can you commit to working out *
What do you feel like is going to hold you back the most *
What is going to push you forward the most *
Along with being a commitment that takes time, training is a financial dedication as well. If an unforeseen payments spring up, will you be able to continue training? *
Is there anything more you need from me to help you succeed *
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