First Name
Last Name
Date of Birth
Gender
Street Address
City
State/Province
Postal/Zip Code
Phone Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Have you been diagnosed with any medical conditions?
Are you currently taking any medications?
Do you have any allergies?
Have you had any recent surgeries or injuries?
Do you experience any chronic pain or discomfort?
Do you have any cardiovascular conditions (e.g., high blood pressure, heart disease)?
Do you have any respiratory conditions (e.g., asthma)?
Do you have any musculoskeletal conditions (e.g., arthritis, osteoporosis)?
Are you currently pregnant or postpartum?
Do you have any dietary restrictions or preferences?
Are you currently under the care of a physician or other healthcare professional?
Have you been cleared for exercise by your physician?
What are your primary fitness goals?
Weight loss
Muscle gain
Improved endurance
Stress reduction
Improved mobility
Sport-specific training
Other:
What is your current activity level?
Sedentary
Lightly active
Moderately active
Very active
Describe your typical daily activity:
Do you currently participate in any regular exercise or sports?
How often do you exercise per week?
How long do you typically exercise per session?
What types of exercise do you enjoy?
What types of exercise do you dislike?
Do you experience any limitations or challenges with movement?
How would you rate your current stress level? (1-10) (Scale: 1-Low Stress, 10-High Stress)
How many hours of sleep do you typically get per night?
Describe your typical dietary habits:
Do you smoke or use tobacco products?
Do you consume alcohol?
What are your preferred days and times for training?
Do you prefer individual or group training?
Individual training
Group training
What is your budget for training?
Do you have access to any fitness equipment at home or a gym?
What type of training environment do you prefer? (e.g., gym, outdoors, home)
Do you have any previous experience with personal training?
What are your expectations from a personal trainer?
How long do you plan to train?
Individual Training:
In-Person One-on-One Training
Online One-on-One Training
Customized Fitness Program Design
Nutritional Coaching
Movement Assessment and Corrective Exercise
Group Training:
Small Group Fitness Classes (Specify type: e.g., HIIT, Yoga, Strength)
Partner Training
Corporate Wellness Programs
Sport specific group training
Specialized Training:
Senior Fitness
Pre/Postnatal Fitness
Corrective Exercise/Rehabilitation
Mobility and Flexibility Training
Strength and Conditioning
Sports Performance Training
Based on your health history and fitness goals, which of the services listed above do you feel are most suitable for you? Why?
Are you aware that some training programs require a certain level of physical fitness or medical clearance?
Do you understand that results vary from person to person and depend on adherence to the training program and lifestyle changes?
Are you willing to commit to a consistent training schedule and follow the trainer's guidance?
Are you aware that you are responsible for informing the trainer of any changes in your health or fitness status?
Do you have any questions or concerns about the training services offered?
I have read and understood the information provided in this intake form.
I certify that the information provided is accurate and complete to the best of my knowledge.
I understand that I am responsible for informing the trainer of any changes in my health or fitness status.
I consent to participate in the fitness and movement training program as described.
I release the trainer and their affiliates from any liability for injuries or damages that may occur during training, except in cases of gross negligence.
Client Signature:
Client Intake Form Insights
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Important Considerations:
This detailed intake form will help you gather the necessary information to create a personalized and effective training program for your clients. Remember to review the form carefully with each client and address any questions or concerns they may have.
Let's break down this training intake form section by section, providing detailed insights into its purpose and importance:
Section 1: Personal Information
Section 2: Health History
Section 3: Fitness and Lifestyle
Section 4: Training Preferences and Availability
Section 5: Service Options (Please check all that apply)
Section 6: Suitability and Client Understanding
Section 7: Agreement and Consent
Overall Importance:
By thoroughly reviewing and utilizing this intake form, trainers can ensure a safe, effective, and positive training experience for their clients.
Mandatory Questions Recommendation
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While the specific legal requirements can vary slightly depending on your location and the exact nature of your services, here's a breakdown of the questions on this intake form that are generally considered mandatory or highly recommended from a safety, legal, and practical perspective:
Absolutely Mandatory (Primarily for Safety and Legal Reasons):
Highly Recommended (For Effective Training and Client Understanding):
Less Critical (But Still Useful for Personalization):
Important Considerations:
In summary, prioritize the health history, emergency contact information, and client agreement/consent sections as absolutely mandatory. The "highly recommended" questions are crucial for providing effective and safe training. The remaining questions contribute to a more personalized service. Always err on the side of gathering more relevant information, while being mindful of privacy and the client's time.