Client Intake Form

New Client Intake Form

Basic Information

Name
Name
First
Last
in
cm
lbs
kg
Units

Goals & Training History

What are your goals for starting this program?
Select all that apply
How long have you done resistance training?
Which programs have you followed in the past?
Select all that apply

Lifestyle & Nutrition

0
What do you do for recovery activities?
1 = Least stressed, 5 = Most
1 Star = Lowest
1 = Poorest
Which best describes how much food you prepare for yourself each week?

Try a Quick Workout

Workout Lead Mag
Which one?

Great choice! Where should we send it?