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Personal Training
Intake form for new clients
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What is your reason or goal for Personal Training?
Your answer
Here are some focuses and types of training that you may utilize during your sessions. Please choose any or all that interest you.
Lose Weight
Flexibility
Strength
Gain Muscle Mass
Balance
Sport-Specific
Running
Yoga
Rowing
TRX
Water Training
Training with a Group or Partner
Other:
Name
Your answer
Age
Your answer
Height
Your answer
Weight
Your answer
Email Address
Your answer
Phone Number
Your answer
What days of the week are you available for sessions?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of the day are you available for sessions?
Your answer
How many days per week do you think you would like to meet with your Personal Trainer?
Your answer
What exercise intensity are you looking for in your training sessions?
Low intensity - use sessions to learn proper form and new exercises
Medium intensity - a mixture of new exercises and things you already know to eliminate transition time between exercises
High Intensity - little to no downtime, come in and work hard
Clear selection
Which rooms are you comfortable working out in with your trainer?
Cardio Room
Strength Training Room
Weight Room
Fitness Express
Basketball Gym
Racquetball Court
Outdoors (Requires off-site waiver)
Other:
Do you have a preferred gender for your trainer?
Male
Female
No Preference
Clear selection
Is there a specific trainer you want to work with?
Your answer
Are you currently exercising? If yes, please describe
Your answer
Do you have any physical limitations or injuries?
Your answer
Is there anything else you would like us to know that will help us customize your training?
Your answer
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