Client Intake Form Template for Flexibility & Mobility

Use in FirstRep form

Personal Information

Gathering basic info to tailor the flexibility program.

Aa Full Name *

John Doe

# Age *

Aa Email Address *

[email protected]

Current Fitness Level

Understanding your current flexibility and mobility.

1-10 How would you rate your overall flexibility? *

1 being very poor, 10 being excellent

Y/N Do you currently do any stretching or mobility work? *

... If yes, please describe your routine.

Describe your current routine

Goals

Identifying your flexibility and mobility goals.

vv What are your main flexibility goals? *

Aa What is your timeline for achieving these goals? *

3 months, 6 months, etc.

Injury History

Understanding any past injuries to tailor the program.

Y/N Do you have any current or past injuries? *

... If yes, please specify.

List any injuries

Lifestyle and Activity Level

Assessing your daily activities and lifestyle.

# How many hours do you spend sitting daily? *

e.g., 8

vv What type of physical activities do you engage in? *

Motivation and Preferences

Understanding what keeps you motivated.

... What motivates you to work on flexibility? *

Explain your motivations

v Do you prefer group classes or one-on-one sessions? *

Why Use This Template

Personalized Program

This intake form allows us to create a tailored flexibility program that suits your individual needs.

Track Progress

Gathering this information helps in measuring your improvement over time.

How to Use

Fill out each section thoroughly to ensure we understand your unique requirements.

Submit the form and await our customized recommendations.

Customization Tips

Add specific exercises that cater to your audience's needs.
Include motivational quotes to inspire clients.
Use visuals to demonstrate stretches and mobility exercises.

Build and send flexibility & mobility templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How long will it take to see results?

Results can vary, but with consistent effort, many clients notice improvements within 4-6 weeks.

Can mobility work be integrated into strength training?

Absolutely! Mobility work can complement strength training by enhancing range of motion and preventing injuries.