Features Pricing Templates Showcase Claude New

Log in Sign up free

Features Pricing Templates Showcase Log in Sign up free

Home / Templates/ Sports/ Client Medical History Form

Client Medical History Form

Gathers a client's medical background, exercise habits, and eating patterns before starting a personalized training program.

Use this template

Already have an account? Log in

In the Claude connectors directory

Client Name*

First Name

Last Name

Phone Number

Client E-Mail*

Client Gender*

Client Birth Date*

Client Height (inches)*

Client Weight (lb's)*

Body fat %

Have you ever had (Please check all that apply)

Heart Disease Diabetes Asthma High Blood Pressure Other

Any family history of the above, If yes, please explain:

Any other medical problems/concerns not already identified?

Please list any injuries and Dates of Each

Please list your Current Medications/supplements

Occupational activity level:

Exercise

Yes No

Are you currently following a structured exercise plan? If yes, please explain.

How many days do you strength train?

0 days 1-2 days 3-4 days 5+ days

Do you train at home or in a gym?

At Home At the Gym Both

What is your typical strength training routine?

What strength equipment do you have available to you?

Do you do cardiovascular exercise?

Yes No

How many days do you do cardio AND How many minutes each day?

If yes, What is your typical weekly cardiovascular routine?

What exercises interest you?

Running Cycling Swimming Weightlifting Yoga Other

What are your eating habits?

Healthy Moderate Unhealthy Irregular

Have you ever followed a specific nutritional plan?

Yes No

If yes, Who created it for you and what did it consist of?

What were your results?

What is a typical weekday and weekend of nutrition for you?

What foods do you like?

What foods do you dislike?

Alcohol Consumption

None Occasional Moderate Frequent

Caffeine Consumption

None Occasional Moderate Frequent

Do you smoke?

Yes No

Include other comments regarding your Medical History

Related templates

Personal Training Assessment Sports Personal training PAR-Q Wellness Player Dismissal Report Form Sports Player Medical Information Sheet Sports

Browse all intake templates →

Powerful online forms — builder, logic, products, and teams — at a price that makes sense.

✓ In the Claude connectors directory

Product

Features
Pricing
Compare
Alternatives
Templates
Claude
MCP tools
API
GitHub

Company

Press room
Brand kit
Contact

Legal

Security
Service status
Terms of service
Privacy policy
Cookie policy

© 2026 anota Forms · a Grupo Barrdega company Sitemap Made for people who ask good questions.

Rejoining the server...

Rejoin failed... trying again in seconds.

Failed to rejoin.
Please retry or reload the page.

The session has been paused by the server.

Failed to resume the session.
Please retry or reload the page.