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Personal training intake form template

Goals, experience and a health readiness check for new fitness clients.

14 questions · 2 pages · fully editable

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Page 1 · About you

Full name *

Email *

Phone *

Date of birth

Main goals * Lose weight
Build strength
Improve fitness
Sport performance
Rehab / mobility
General health

Experience level * Beginner
Some experience
Very experienced

Days per week you can train 1
2
3
4
5+

Page 2 · Health readiness

Has a doctor ever said you have a heart condition? * Yes
No

Do you feel chest pain or dizziness during activity? * Yes
No

Do you have a bone, joint or muscle problem that could be made worse by exercise? * Yes
No

Are you taking medication for blood pressure or a heart condition? * Yes
No

Injuries, conditions or anything else your trainer should know

Emergency contact name and phone *

Signature *

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Peak Performance TrainingPersonal trainer websiteOne-on-one coaching with a goals and health-readiness intake.Preview the site →

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