Fitness Client Intake Form

Complete this form to help us understand your fitness goals.

Name

    Date of Birth

      Gender

        • Male

        • Female

        Contact Number

          What are your primary fitness goals?

            • Weight Loss

            • Muscle Gain

            • General Fitness

            • Strength Training

            • Rehabilitation & Injury Prevention

            Preferred Workout Type(s)

              • Personal Training

              • Group Classes

              • Cardio Workouts

              • Strength Training

              • Yoga/Pilates

              Preferred Workout Frequency

                • 1-2 Times a Week

                • 3-4 Times a Week

                • 5+ Times a Week

                Please list any medical conditions or injuries you have:

                  Do you have any restrictions or limitations on physical activity?

                  How would you describe your current activity level?

                    Do you have any prior fitness experience?

                    Do you have any special requests or fitness preferences?

                      Liability Waiver & Agreement

                      1. I acknowledge that I have voluntarily chosen to participate in physical training and exercise activities.

                      2. I understand that participation in fitness programs involves risks of injury, and I assume full responsibility for my participation.

                      3. I release the company and its trainers from any liability related to injuries or health issues arising from my participation.

                      Name:

                      Date:

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