Fitness Client Intake Form
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Client Name
Birth Date
Emergency Contact Name
Emergency Contact Number
Please state if you have current/previous health diseases/issues.
Please state if you're currently taking any medications.
How would you rate your nutrition?
Clear selection
At which frequency do you eat at breakfast?
Clear selection
Please select the reasons you eat (besides hunger).
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How often can you exercise per week?
Please select the best times you can exercise
Clear selection
What are your goals for training?
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Please add any other information you think would be helpful for me to know to help you achieve your goals.
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