Fitness Coaching Client Intake
Personal Information
Full Name
Date of Birth
Email
Phone Number
Address
Emergency Contact
Name
Phone Number
Health & Medical Information
List any medical conditions or injuries
Are you taking any medications?
Physical limitations or restrictions
Fitness Profile
Current activity level
Sedentary
Lightly Active
Moderately Active
Very Active
What are your fitness goals?
Current or previous exercise routine
How many days per week are you available to train?
Lifestyle
Occupation
How would you rate your stress level?
Low
Moderate
High
Average hours of sleep per night
Describe your current nutrition or dietary habits