Client Intake Form Template for Body Positive & Intuitive Fitness

Use in FirstRep form

Personal Information

Gathering personal details helps us understand your unique journey and needs.

Aa Name *

Enter your full name

# Age *

Enter your age

Aa Email *

Enter your email address

Fitness Background

Understanding your fitness history helps tailor our approach to your needs.

... Previous Exercise Experience *

Describe your past fitness experiences

v Current Activity Level *

vv Favorite Types of Movement *

Goals and Intentions

Setting intentions helps focus on what truly matters beyond appearance.

... Non-Appearance-Based Goals *

List your goals that don't focus on weight or appearance

... What brings you joy in movement? *

Describe what joyful movement means to you

Diet and Nutrition Perspective

Understanding your relationship with food aids in a holistic approach to fitness.

... Current Relationship with Food *

Describe your current feelings and thoughts about food

vv Trigger Foods

... Support Needed in Nutrition *

What kind of support do you need regarding food?

Body Image and Self-Perception

Exploring body image helps us foster a positive self-view and acceptance.

... Body Image Thoughts *

How do you currently feel about your body?

... Affirmations or Mantras

List any positive affirmations you resonate with

Support System

Identifying your support network is key to a successful journey.

... Key Supporters *

Who supports you in your fitness and recovery journey?

v Preferred Communication Style *

Why Use This Template

Foster Self-Acceptance

This form encourages clients to embrace their bodies and redefine fitness.

Create Personalized Plans

Understanding clients’ backgrounds allows for tailored fitness plans.

How to Use

Complete the form with honesty to enable a supportive experience.

Reflect on your answers to clarify your goals and intentions.

Customization Tips

Feel free to add sections that reflect your unique approach to fitness.
Include specific questions about movement preferences that resonate with your philosophy.
Customize the tone of the questions to match your voice for a personal touch.
Consider adding additional resources or links for clients to explore.
Adjust the required fields based on the depth of information you seek.

Build and send body positive & intuitive fitness templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How is this different from traditional fitness assessments?

This form prioritizes body positivity and personal joy over weight-centric metrics.

Can I skip any questions?

Yes, feel free to skip questions that don't resonate with you.