First Name
Last Name
Date of Birth
Age
Gender
Phone Number
Email Address
Street Address
City
State/Province
Postal/Zip Code
First Name
Last Name
Phone Number
Relationship
What are your primary fitness goals? (Check all that apply)
Weight Loss
Muscle Building
Improved Endurance
Increased Flexibility
Stress Reduction
General fitness
Other:
What is your target timeframe to achieve these goals?
1-3 months
3-6 months
6-12 months
Ongoing
Have you worked with a personal trainer or attended a boot camp before?
If yes, please describe your experience:
Do you have any existing medical conditions or injuries?
If yes, please specify:
Are you currently taking any medications?
If yes, please list:
Do you have any allergies or dietary restrictions?
If yes, please specify:
Have you ever been diagnosed with or experienced any of the following? (Check all that apply)
Heart Disease
High Blood Pressure
Diabetes
Asthma or Respiratory Issues
Joint or Bone Problems
Chronic Pain
Other:
Are you pregnant or postpartum?
If yes, how many weeks/months?
Do you smoke or use tobacco products?
Do you consume alcohol regularly?
Please rate your current stress levels:
Low
Moderate
High
How would you describe your current fitness level?
Beginner
Intermediate
Advanced
How often do you currently exercise?
Never
1-2 times per week
3-4 times per week
5+ times per week
What types of exercise do you currently do? (Check all that apply)
Cardio (Running, Cycling, etc.)
Strength Training
Yoga/Pilates
Sports
Other:
Do you have any experience with high-intensity interval training (HIIT) or boot camp-style workouts?
Are there any exercises or activities you dislike or avoid?
If yes, please specify:
How would you describe your current diet?
Poor
Fair
Good
Excellent
Do you follow any specific diet or eating plan?
If yes, please specify:
How many meals do you eat per day?
1-2
3
4+
Do you drink enough water daily?
How many hours of sleep do you get per night on average?
Less than 5
5-6
7-8
More than 8
What type of training are you interested in? (Check all that apply)
Individual Training (One-on-One)
Group Training (Boot Camp Classes)
Virtual/Online Training
Hybrid (In-Person + Virtual)
What is your preferred schedule for training?
Morning
Afternoon
Evening
Weekdays
Weekends
How many meals do you eat per day?
1
2
3
4+
Do you have any specific preferences for workout intensity?
Low
Moderate
High
Are you interested in additional services? (Check all that apply)
Nutritional Coaching
Progress Tracking (Measurements, Photos, etc.)
Custom Workout Plans
Accountability Check-Ins
Other:
What motivates you to stay consistent with your fitness routine?
What challenges or obstacles do you anticipate in achieving your fitness goals?
Are there any specific accommodations or modifications you require during training?
If yes, please specify:
What do you hope to gain from this fitness boot camp experience?
Do you have any concerns or questions about the program?
I acknowledge that I have provided accurate information about my health, fitness level, and goals. I understand that the fitness boot camp program may involve strenuous physical activity and that I should consult with a healthcare provider before beginning any new exercise regimen.
Client Signature:
Client Intake Form Insights
Please remove this client intake form insights section before publishing.
This Client Intake Form, explaining the purpose and importance of each section, as well as how it contributes to creating a personalized and effective fitness program for the client.
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By using this detailed intake form, fitness trainers and boot camp coaches can ensure they provide a safe, effective, and personalized experience for their clients, setting them up for long-term success.
To configure an element, select it on the form.