Irwin Fitness Intake Form
I would like to get to know you a little bit better! Tell me a bit about yourself so I can get an idea of where we can start your program!
All information is kept confidential.
Name *
Your answer
Age *
Your answer
Email *
Your answer
What services are you interested in? *
What day(s) of the week work best for you? *
These days are not guaranteed
What is your ideal time of day to workout? *
These times are not guaranteed
Tell me a little bit about your previous and current training program.
How many days do you currently workout? *
At least 30 min. of dedicated effort towards strength, conditioning, flexibility, and/or mobility
How consistent are you with your training? *
I'm good for about a week
I never miss a day
What does a typical training week look like?
Your answer
Are you familiar with... *
No judgements here, I'm just curious how familiar you are to some of the fundamental movement patterns I teach my clients.
Yes, but I could use some additional guidance.
Not yet.
Bench Press
Overhead Press
Kettlebell Swing
Please list any injuries or restrictions relevant to your training.
Previous or current
Your answer
What are you hoping to get out of working with me?
There is no wrong answer, and even the most basic goal can be a great start!
Your answer
Please list any other physical activities you enjoy.
Training can both enhance and supplement activities outside of the gym.
Your answer
What do you do to relieve stress?
This can be ANYTHING! I like to identify how clients take care of themselves, or help them discover what works best for them.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service