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Fitness & Sports
Personal Training Intake
Screen new personal training clients — fitness goals, health history, training experience, and availability.
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Preview · not interactivePersonal Training Intake
Screen new personal training clients — fitness goals, health history, training experience, and availability.
About you
Full name*
Email address*
Phone number*
Date of birth*
Pick a date📅
Your goals
Primary goal*
Weight loss / body composition
Build muscle / strength
Improve endurance
Sport-specific performance
Describe your goals in your own words*
How would you rate your current fitness level?*
Beginner — new to structured trainingSome experienceIntermediate — train regularlyAdvanced — competitive or long-term lifterRow ARow B
Health & availability
Any of these apply?
Heart condition
Joint or back problems
Diabetes
Medication affecting exercise
Current or past injuries (optional)
Preferred training times*
Early morning (before 8:00)
Midday (10:00–14:00)
Afternoon (14:00–18:00)
Evening (after 18:00)
Sessions per week desired*
Submit