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Hype Gym Client Intake Form
Welcome to Hype Gym! We’re thrilled to have you as a potential new personal training client. Please answer the below questions to the best of your ability to help us set you up for success!
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Work Related Stress
*
Low
Moderate
High
Other:
On average, how many hours of sleep do you get a night?
*
3-5 hours
4-6 hours
7-9 hours
9+ hours
What are your main fitness goals you are looking to achieve?
*
Weight loss
Strength
Aerobic Capacity (cardio)
Body Composition
Sports Specific Performance
Mobility
General Health
Please write down 1-2 measurable goals you would like to achieve ? for example lose x amount of pounds
*
Your answer
What is your current fitness routine?
*
Weight training
Spin
Running
HIIT / Group classes
Bodyweight only
Required
How many days a week would you ideally like to train?
*
1-2 Days
3-4 Days
5+ Days
What are your ideal training days / times?
*
Your answer
Why do you want a fitness coach, and have you worked with one in the past ?
*
Your answer
What are you looking for from me as a trainer?
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Expertise
Motivation
Accountability
Time Efficiency
Required
What is your Why ? As far as training and preforming physical activity
*
Your answer
Are there any specific exercises that you are uncomfortable performing or exercises you know causing discomfort at certain joints?
*
Your answer
Are there any specific exercises that you enjoy performing?
*
Your answer
On a scale of 1-5 how would you rate your current nutrition ?
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1
2
3
4
5
Are you looking for nutrition help as well?
*
No
Yes
On a scale of 1-5, how committed to your goals are you?
*
1
2
3
4
5
Is there anything else you'd like us to know?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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