Intake Form

We train smart. It starts here.

Your answers shape your program. Complete the new client questionnaire online, or download the fillable PDF to complete on your own time, whichever is easier for you.

First week free · 3 × 25-minute sessions

Option A · Fill out online

New client questionnaire

Everything you share stays between you and your coach. Share only what you're comfortable sharing. We'll cover the rest in person.

01 · Personal information

Full name Date of birth

Phone Email

Emergency contact (name & phone)

02 · Health & medical history

Do you have any current injuries, limitations, or chronic pain?

Yes No

Have you been diagnosed with any medical conditions?

Yes No

Are you currently taking any medications?

Yes No

Have you had any surgeries in the last 5 years?

Yes No

Has your doctor ever advised you against exercise?

Yes No

03 · Current fitness level

Days per week you exercise

Worked with a trainer before?

Yes No

Current fitness level

Beginner Intermediate Advanced

04 · Goals

Your top 3 goals

Primary goal (select one)

Fat Loss Muscle Gain Strength Performance Health

05 · Nutrition & lifestyle

How would you describe your nutrition?

Water intake per day Average sleep per night

Stress level

Low Moderate High

06 · Commitment assessment

How committed are you to reaching your goals? (1–10)

What has stopped you from achieving your goals in the past? What would success look like in 6 months?

07 · Coaching agreement

I understand that results require consistency with training, nutrition, recovery, and lifestyle habits.

Signature (type your name) Date

Confidential · Shared only with your coach

✓

Form received.

Thank you. Your coach will review it before your consultation. Nothing else is needed from you right now.

Book a Consultation

Option B · Download & fill out

Prefer paper?

Download the new client questionnaire, fill it out at your own pace, and bring it to your first session, or email it to your coach.

Fillable PDF · Type or print

Why we ask

Training after treatment isn't generic. Your history (surgery, fatigue, medication, range of motion) decides where we start and how fast we build. The form isn't paperwork. It's the first rep of your program.

Haven't booked yet?

Book your free consultation →