Personal Training Intake Form | KaylaFit

Personal Training New Client Intake Form

Full Name:

Age:

Email:

Phone:

Occupation:

Emergency Contact (name, relation, phone number)

Goals

Goals

Primary Fitness Goals (Check all that apply)

How many days a week would you want to work with a personal trainer?

Do you do any other fitness outside of our training?

Medical History & Health Screening

Medical History & Health Screening

Current medical conditions

Past injuries or surgeries

Lifestyle & Habits:

Lifestyle & Habits:

Current activity level

Sedentary

Light

Moderate

Active

Typical weekly exercise routine (if any)

Sleep patterns:

Specific diet:

Anything you’d like me to know as your coach (i.e. what motivates you, what doesn’t)?