Fitness Client Intake Form

Welcome every new client with one complete record: contact information, health background, lifestyle habits, training availability and objectives, closed with a confirming signature. The first step of a well-run coaching practice.

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Client name

Nombre

Apellido

Birth date

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone number

Emergency contact name

Nombre

Apellido

Emergency contact phone number

Please state if you have current or previous health conditions or issues.

Please state whether you take any medication.

How often can you exercise per week?

For how many months will you exercise?

Please select the reasons you eat (besides hunger).

Please select the best days for you to exercise.

Please select the best times for you to exercise.

Early morning Midday Afternoon Evening

What are your goals for training?

Lose weight Build muscle Improve endurance Improve flexibility Improve overall health

Acknowledgement of terms and conditions

Date

Client signature

Sign here

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