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Personal Fitness Client Sign-Up Form

I. Personal Information

First Name

Last Name

Date of Birth

Gender

Contact Information

Phone Number

Email Address

Street Address

City

State/Province

Postal/Zip Code

Emergency Contact

First Name

Last Name

Phone Number

Relationship

II. Fitness Goals and Preferences

What are your primary fitness goals? (Check all that apply)

Weight loss

Muscle Building

Improved Cardiovascular Health

Increased Flexibility/Mobility

Stress Reduction

Injury Rehabilitation

Sports Performance Enhancement

General Fitness Maintenance

Other:

What is your preferred type of training?

Individual Coaching

Group Coaching

Online Coaching

In-Person Coaching

Hybrid (Online + In-Person)

What is your preferred training schedule?

Morning

Afternoon

Evening

Flexible

Do you have any experience with fitness training?

Beginner

Intermediate

Advanced

Professional Athlete

What types of exercise do you enjoy? (Check all that apply)

Strength Training

Cardio (Running, Cycling, etc.)

Yoga/Pilates

Dance/Zumba

Martial Arts

Functional Training

Outdoor Activities (Hiking, Swimming, etc.)

Other:

III. Health and Medical History

Do you have any medical conditions or injuries that may affect your ability to exercise?

If yes, please specify:

Are you currently taking any medications?

If yes, please list:

Have you ever had surgery or been hospitalized for a medical condition?

If yes, please provide details:

Do you have any allergies or dietary restrictions?

If yes, please specify:

Do you smoke or use tobacco products?

Do you consume alcohol?

If yes, how often?

How would you rate your current stress levels?

Low

Moderate

High

How many hours of sleep do you get per night on average?

Less than 5 hours

5-7 hours

7-9 hours

More than 9 hours

IV. Lifestyle and Habits

What is your current occupation?

How many hours per day do you spend sitting?

Less than 4 hours

4-8 hours

More than 8 hours

How often do you exercise per week?

Never

1-2 times

3-4 times

5 or more times

What is your typical daily activity level?

Sedentary (Little to no exercise)

Lightly Active (Light exercise 1-3 days/week)

Moderately Active (Moderate exercise 3-5 days/week)

Very Active (Hard exercise 6-7 days/week)

Do you follow a specific diet?

No

Vegetarian

Vegan

Keto

Paleo

Gluten-Free

Other:

How much water do you drink daily?

Less than 1 liter

1-2 liters

2-3 liters

More than 3 liters

V. Service Suitability and Preferences

What type of coaching are you interested in? (Check all that apply)

Personal Training (1-on-1)

Small Group Training (2-5 people)

Large Group Classes (6+ people)

Online Coaching

Movement and Mobility Training

Nutrition Coaching

Wellness and Lifestyle Coaching

Other:

What is your preferred session duration?

30 minutes

45 minutes

60 minutes

90 minutes

Do you have access to a gym or fitness equipment at home?

If yes, please list equipment available:

What is your budget for fitness coaching?

$50.00−$100.00/month

$100.00−$200.00/month

$200.00−$300.00/month

$300.00+/month

How did you hear about us?

Social Media

Friend/Family Referral

Online Search

Advertisement

Other:

Do you have any specific preferences or requirements for your coach?

Male Coach

Female Coach

No Preference

Other:

VI. Client Commitment and Expectations

What is your primary motivation for starting fitness training?

What challenges do you anticipate in achieving your fitness goals?

How committed are you to following a structured fitness program?

Very Committed

Somewhat Committed

Not Sure

What is your desired timeline for achieving your goals?

1-3 months

3-6 months

6-12 months

12+ months

Do you have any questions or concerns about the services being offered?

VII. Consent and Agreement

I understand that the information provided in this form will be used to create a personalized fitness program tailored to my needs and goals.

I acknowledge that I should consult with a healthcare professional before starting any new fitness program, especially if I have any medical conditions or concerns.

I understand that results may vary based on individual effort, consistency, and adherence to the program.

Client Signature:

Client Intake Form Insights

Please remove this client intake form insights section before publishing.


This Form is a comprehensive tool designed to gather critical information about a client’s health, fitness goals, lifestyle, and preferences. This form ensures that the trainer or coach can create a safe, effective, and personalized program tailored to the client’s needs. Below is a detailed breakdown of each section and its purpose:

1. Client Information

This section collects basic demographic and contact details, which are essential for communication and record-keeping. It also includes emergency contact information to ensure the client’s safety during training sessions.

  • Purpose: To establish a professional relationship and ensure the trainer can reach the client or their emergency contact if needed.

2. Fitness Goals and Preferences

This section identifies the client’s primary fitness objectives and preferences, such as the type of training they enjoy and their experience level.

  • Purpose: To align the training program with the client’s goals (e.g., weight loss, muscle building, flexibility) and preferences (e.g., individual vs. group coaching, in-person vs. online). This ensures the program is engaging and effective.

3. Health and Medical History

This section gathers information about the client’s medical conditions, injuries, medications, and lifestyle habits (e.g., smoking, alcohol consumption, sleep patterns).

  • Purpose: To identify any potential risks or limitations that may affect the client’s ability to participate in certain exercises. This information helps the trainer design a safe and appropriate program, especially for clients with injuries or chronic conditions.

4. Lifestyle and Habits

This section explores the client’s daily routine, activity level, diet, and hydration habits.

  • Purpose: To understand the client’s current lifestyle and identify areas for improvement (e.g., reducing sedentary behavior, improving nutrition). This information helps the trainer provide holistic guidance beyond exercise.

5. Service Suitability and Preferences

This section delves into the client’s preferences for coaching style, session duration, budget, and access to equipment.

  • Purpose: To ensure the services offered match the client’s expectations and logistical needs (e.g., time, budget, equipment availability). This helps avoid misunderstandings and ensures a positive client experience.

6. Client Commitment and Expectations

This section assesses the client’s motivation, anticipated challenges, and commitment level.

  • Purpose: To gauge the client’s readiness for change and set realistic expectations. Understanding the client’s motivation and challenges allows the trainer to provide additional support and accountability.

7. Consent and Agreement

This section includes legal and ethical disclaimers to protect both the client and the trainer.

  • Purpose: To ensure the client understands the risks and responsibilities associated with starting a fitness program. It also confirms that the client has consulted a healthcare professional if necessary.

Key Features of the Form

  1. Comprehensive: Covers all aspects of the client’s health, fitness, and lifestyle to create a well-rounded program.
  2. Personalized: Tailors the training program to the client’s unique goals, preferences, and limitations.
  3. Safety-Oriented: Identifies potential risks and ensures the program is safe for the client.
  4. Client-Centered: Focuses on the client’s needs, preferences, and expectations to ensure satisfaction and adherence.
  5. Professional: Includes legal disclaimers and consent to protect both parties.

How Trainers Can Use This Form

  1. Assessment: Use the information to assess the client’s current fitness level, health status, and goals.
  2. Program Design: Create a personalized training plan that aligns with the client’s preferences and limitations.
  3. Progress Tracking: Use the baseline data to track progress over time and adjust the program as needed.
  4. Communication: Address any concerns or questions the client has about the services being offered.
  5. Accountability: Help the client stay committed by understanding their motivation and challenges.

Benefits for the Client

  1. Personalized Approach: The program is tailored to their specific needs and goals.
  2. Safety: The trainer is aware of any health concerns or limitations.
  3. Clarity: The client understands what to expect from the training program.
  4. Motivation: The trainer can provide targeted support based on the client’s motivation and challenges.

Conclusion

This intake form is a vital tool for both trainers and clients. It ensures that the training program is safe, effective, and aligned with the client’s goals and preferences. By gathering detailed information upfront, trainers can provide a higher level of service and support, leading to better outcomes for the client.


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