Personal Training Assessment

Screen a new client before training starts with a health questionnaire, body measurements, movement tests and personal goals. Designed for personal trainers who want to build a safe, tailored plan.

Use this template

In the Claude connectors directory

Name

First Name

Last Name

I prefer to be contacted via

Phone call Text message WhatsApp Email

Trainer's name

First Name

Last Name

Has a doctor ever said you have a heart condition and should only exercise under medical supervision?

Yes No Not sure

Do you ever feel chest pain during physical activity?

Yes No Not sure

Do you tend to lose consciousness or fall because of dizziness?

Yes No Not sure

Has a doctor ever prescribed medication for your blood pressure, cholesterol or a heart condition?

Yes No Not sure

Do you have a bone or joint problem the proposed activity could aggravate?

Yes No Not sure

Do you know of any other physical reason not to exercise without medical supervision?

Yes No Not sure

Are you over 65 and not used to vigorous exercise?

Yes No Not sure

Have you asked your physician about increasing your activity or doing a fitness assessment?

Yes No Not sure

If you answered no, will you consult your physician before increasing your activity?

Yes No Not sure

Check any conditions or activities that may affect you

Have you had surgery recently? If so, please specify.

Signature

Sign here

Are you on a fitness program now? If so, which one?

What have you done in the past to live a healthy lifestyle?

When were you in the best shape of your life?

How did you feel at that time?

What are your main fitness goals?

Which areas of your body would you most like to improve?

How long have you been thinking about these goals?

Why have you waited?

When would you like to see results?

What is your current plan to reach your goal?

What is the biggest obstacle to your success?

Have you worked with a personal trainer before? Were you happy with the results?

How can I best help you reach your goal?

Select what best describes you

I'm just getting started I'm returning after a break I train occasionally I train regularly

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