Client Intake Form Template for Fitness for Busy Professionals

Use in FirstRep form

Personal Information

Gather key personal details to tailor fitness solutions effectively.

Aa Full Name *

John Doe

Aa Email Address *

[email protected]

Aa Phone Number *

(123) 456-7890

Aa Occupation *

Corporate Executive

Fitness Goals

Understanding your fitness objectives helps in designing a personalized plan.

v Primary Fitness Goal *

# Time Available for Workouts (per week) *

v Preferred Workout Duration *

vv Specific Activities You Enjoy

Health Background

Important health information helps in customizing your fitness regime.

Y/N Do you have any pre-existing health conditions? *

... If yes, please specify

e.g., hypertension, diabetes

Y/N Are you currently taking any medication? *

... If yes, please list

e.g., blood pressure medication

Lifestyle Factors

Lifestyle choices are crucial for maintaining a consistent fitness routine.

# Average Work Hours per Week *

Y/N Do you travel for work? *

v How often do you travel?

# Typical Sleep Hours *

Barriers to Fitness

Identifying potential barriers can help in overcoming them.

... What prevents you from exercising regularly? *

e.g., work commitments, family duties

1-10 Rate your current stress level (1-10) *

Y/N Do you have a support system for fitness? *

Commitment Level

Assessing your readiness to commit helps design a realistic plan.

1-10 How committed are you to achieving your fitness goals? *

Y/N Are you willing to adjust your schedule for workouts? *

v How often can you commit to weekly check-ins? *

Why Use This Template

Tailored Approach

This form enables us to create a fitness plan that aligns with your specific goals and lifestyle.

Efficiency

By understanding your schedule and preferences, we can optimize your workout time.

How to Use

Fill out the form as completely as possible to give us insight into your fitness journey.

Submit the form to receive a personalized fitness plan designed for your busy schedule.

Customization Tips

Use specific industry jargon to resonate with corporate professionals.
Incorporate stress management techniques tailored for busy schedules.
Include examples of quick workouts that can be done in a hotel room.

Build and send fitness for busy professionals templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How long will it take to complete the intake form?

The form should take approximately 10-15 minutes to complete, depending on how detailed your responses are.

What happens after I submit the form?

Once submitted, our team will review your inputs and reach out with your customized fitness plan within 48 hours.