Free Personal Trainer Client Intake Form

Please complete this form to help us understand your training needs.
Name
Phone Number
Gender
Male
Female
Age
Main Fitness Goals
Weight Loss
Muscle Gain
Sport-Specific Training
Flexibility & Mobility
General Fitness & Well-Being
Preferred Workout Type
One-on-One Training
Group Training
Strength & Resistance Training
Cardio Workouts
HIIT Training
Preferred Training Frequency
1-2 Times a Week
3-4 Times a Week
5+ Times a Week
Please list any medical conditions or physical limitations you may have:
Are you currently taking any medications that may affect your workouts?
If yes, please specify:
How would you describe your current activity level?
Lightly Active
Moderately Active
Very Active
Do you have any special requests or preferences for training?
Thank You for Your Submission!
We will reach out to you soon.
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