Live Oak Strength Health History & Intake
Please complete our health history and intake form so your trainer has ample time to review it and design a great personalized workout for you. We look forward to meeting you. Thank you!
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First and Last Name: *
Prefer to be called: *
Hobbies/Interests:
If Applicable: Spouse's Name
If Applicable: Children's/Pet's name:
Emergency contact: (name, phone, relationship) *
Your Occupation: *
Current Physical Activities (type of activity, how often?): *
Why do you want to strength train? What do you hope to accomplish by training at Live Oak Strength? *
Do you have any travel plans in the next 3 months that will take you away from training for more than 2 weeks? *
Have you ever strength trained before? If yes, where, when, how long, what did you like/dislike about the process? *
CONDITIONS- please check all that apply:
If you selected any of the above conditions, please supply as much detail as possible in this section:
INJURIES/OTHER - please check all that apply:
If you selected any of the above, please supply as much detail as possible in this section:
Do you know of any other physical or mental condition that you have or have had that could be aggravated, worsened, exacerbated, inflamed, etc. by exercising or exerting yourself?
Is there anything else you'd like to share with us before we meet for your introductory workout?
I have read, understood and completed the questionnaire. By selecting 'Agree' it will act as my signature on this questionnaire. *
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