First Name
Last Name
Date of Birth
Gender
Address
Phone Number
First Name
Last Name
Phone Number
Relationship
How did you hear about our boot camp?
Do you have any current or past medical conditions?
If yes, please list and describe:
Are you currently taking any medications?
If yes, please list and describe:
Do you have any allergies?
If yes, please list and describe:
Have you had any recent surgeries or injuries?
If yes, please list and describe:
Do you experience any pain or discomfort during physical activity?
If yes, please specify:
Are you pregnant or planning to become pregnant?
Do you have any cardiovascular issues? (e.g., High blood pressure, heart disease)
If yes, please explain:
Do you have any musculoskeletal issues? (e.g., Back pain, joint problems)
If yes, please explain:
Do you have any respiratory issues? (e.g., Asthma)
If yes, please explain:
Physician's Name
Physician's Phone Number
Do you have a doctor's clearance for exercise?
Yes
No (If no, we may require clearance before participation)
What are your primary fitness goals? (Check all that apply)
Weight Loss
Increased Strength
Improved Cardiovascular Fitness
Muscle Toning
Stress Reduction
General Well-being
Other (Please specify):
What is your current fitness level?
Beginner
Intermediate
Advanced
What types of exercise have you done in the past? (e.g., Running, weightlifting, yoga)
How often do you currently exercise per week?
0-1 times
2-3 times
4-5 times
6+ times
What do you enjoy most about exercise?
What do you find most challenging about exercise?
Do you have any specific limitations or preferences regarding exercise?
Which boot camp program(s) are you interested in? (Check all that apply)
General Fitness Boot Camp (Mixed Intensity)
Strength Training Boot Camp
Cardio/HIIT Boot Camp
Outdoor Boot Camp
Indoor Boot Camp
Morning Boot Camp
Evening Boot Camp
Weekend Boot Camp
Individual Personal Training
Small Group Personal Training (2-4 people)
Nutrition Coaching
Online Coaching
Other (Please specify):
What is your preferred training frequency?
1 time per week
2 times per week
3 times per week
4+ times per week
Are you interested in any additional services?
Body Composition Analysis
Meal Planning
Progress Tracking
What are your scheduling preferences? (Days and times)
Why did you choose our fitness boot camp?
Are you committed to attending scheduled sessions consistently?
Are you willing to follow the trainer's instructions and guidance?
Are you comfortable working in a group setting (if applicable)?
Are you prepared to make necessary lifestyle changes to achieve your fitness goals?
Do you understand that results may vary and require consistent effort?
Are you aware that some boot camp activities can be physically demanding?
Are you prepared to inform your trainer of any changes in your health or fitness?
I acknowledge that I have accurately completed this form and disclosed all relevant information.
I understand that participating in a fitness boot camp involves physical activity and potential risks.
I hereby release and discharge [Your Business Name] and its trainers from any liability for injuries or damages arising from my participation in the boot camp.
I agree to follow all rules and regulations set by [Your Business Name].
Client Signature:
Client Intake Form Insights
Please remove this client intake form insights section before publishing.
Important Considerations:
This comprehensive form should help you gather all the necessary information and ensure the safety and success of your boot camp clients.
Let's break down the client intake form section by section, providing detailed insights into its purpose and importance:
Section 1: Personal Information
Section 2: Health and Medical History
Section 3: Fitness Goals and Experience
Section 4: Boot Camp Services and Preferences
Section 5: Suitability Assessment Questions
Section 6: Agreement and Waiver
Overall Insights:
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation section before publishing.
That's a great question! While all the information on the form is valuable, the mandatory questions are those directly related to the client's safety, your legal protection, and your ability to contact them. Here's a breakdown of the absolutely essential fields:
Absolutely Mandatory:
Highly Recommended (but might be situationally less critical than the above):
Questions that inform your service but are less about immediate safety or legal liability:
While these sections are incredibly valuable for tailoring your services and ensuring client satisfaction, they are not strictly mandatory in the same way that health information and the waiver are for safety and legal reasons. You could technically run a basic session without knowing their exact goals, but you cannot ethically or legally proceed without understanding their health and having a signed waiver.
In summary, prioritize the personal identification, critical health information, and the legally binding agreement and waiver sections as absolutely mandatory. The other sections provide essential context for delivering a good service but are secondary to safety and legal protection.
To configure an element, select it on the form.