[FITNESS, SPORTS & RECREATION] Personal Training New Client Intake + Packages

Please complete the following to help me service your needs! [ENTER BUSINESS NAME, ADDRESS] Phone: (123) 456-6789 Email: YourName@YourEmail.com Website: YourWebsite.com

1Your Fitness Goals > 2Your Diet & Lifestyle > 3Your Physical Readiness > 4Training Specials > 5Terms & Conditions
Massive Delts Workout
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Age *
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Address *
Address Type Street Address Address Line 2 Apartment City State / Province / Region Postal / Zip Code Country
Best phone number to reach you * - ### - ### ####
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YOUR FITNESS HEALTH

Please answer the questions below as accurately as possible to help determine what personalized training is best for you
On a scale of 1 to 10 (10 is best), how would you rate your present level of fitness? *
1 2 3 4 5 6 7 8 9 10
Are you satisfied with your current level of fitness? *
Yes No
How often do you currently participate in physical activity?
*
1-2 times per week 3-4 times per week 5-7 times per week a couple of times per month have not exercised in over 2 months
If you're currently active, what do you participate in? *
Resistance training (weights) Cardio Pilates Sports Crossfit Stretching Leisure activities (e.g. bicycling, rollerblading, swimming, skiing,) Other =
To increase your chances of being successful at achieving your fitness related goals, please check what you would like to accomplish below:
*
Add variety to exercise regime Build muscle Improve cardiovascular health Improve eating habits Improve exercising techniques Improve health Improve sport specific skills Increase flexibility and movement Increase self motivation Pre or post natal care Reduce body fat Reduce stress Rehabilitation Tone muscles Other =
How important is it for you to reach your goals? (10 is high) *
1 2 3 4 5 6 7 8 9 10
How would you like your progress to be monitored?
*
Body weight Girth measurements Fat testing through skin fold measurements Training logs and records Other =
What actions, behaviours, obstacles, activities etc. do you feel could hinder the progress towards achieving your goals? *
Getting bored of exercise Injury or illness Lack of interest Lack of motivation Lack of time If you have a past injury or illness, please specify =
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[FITNESS, SPORTS & RECREATION] Personal Training New Client Intake + Packages

[FITNESS, SPORTS & RECREATION] Personal Training New Client Intake + Packages

YOUR FITNESS HEALTH

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