Fitness Client Assessment Form
Personal Information
Full Name
Date of Birth
Email Address
Phone Number
Address
Emergency Contact
Name
Phone
Relationship
Health & Medical Information
Do you have any medical conditions, injuries, or limitations?
Are you currently taking any medication?
Physician Name
Fitness Goals
What are your fitness goals?
Describe your past exercise experience
Lifestyle & Activity
How would you describe your daily activity level?
Sedentary
Lightly Active
Moderately Active
Very Active
Any sports or physical hobbies?
Additional Comments
Anything else you'd like your trainer to know?