Name

Phone Number

Gender

• Male

• Female

Age

Main Fitness Goals

• Weight Loss

• Muscle Gain

• Sport-Specific Training

• Flexibility & Mobility

• General Fitness & Well-Being

Preferred Workout Type

• One-on-One Training

• Group Training

• Strength & Resistance Training

• Cardio Workouts

• HIIT Training

Preferred Training Frequency

• 1-2 Times a Week

• 3-4 Times a Week

• 5+ Times a Week

Please list any medical conditions or physical limitations you may have:

Are you currently taking any medications that may affect your workouts?

If yes, please specify:

How would you describe your current activity level?

• Lightly Active

• Moderately Active

• Very Active

Do you have any special requests or preferences for training?