Client Intake Form Template for Functional Fitness

Use in FirstRep form

Personal Information

Collecting personal information helps tailor the program to individual needs.

Aa Full Name *

Enter your full name

# Age *

Enter your age

Aa Contact Information *

Email and/or phone number

Health History

Understanding health history is crucial for safe functional training.

Y/N Do you have any chronic conditions? *

... List any injuries or surgeries

Please describe any relevant injuries

... Current medications

List any medications you are taking

Lifestyle and Activity Level

Assessing lifestyle helps in creating a balanced functional fitness program.

Aa Occupation *

What is your job or daily activity?

v Current activity level *

Y/N Do you engage in regular exercise? *

Goals and Expectations

Setting clear goals helps to measure progress in functional fitness.

vv What are your primary fitness goals? *

... What does 'functional fitness' mean to you? *

Describe your understanding of functional fitness

vv How would you like to measure your progress?

Barriers and Challenges

Identifying barriers helps in designing a sustainable fitness plan.

... What challenges have you faced in the past with fitness?

Describe any obstacles you've encountered

# Time commitment available for training (hours/week) *

Enter hours you can dedicate each week

Aa Support system at home

Do you have support for your fitness journey?

Personal Preferences

Understanding client preferences aids in creating an enjoyable program.

v Preferred training environment *

v Do you prefer group or individual sessions? *

vv Favorite types of activities

Why Use This Template

Holistic Approach

Focuses on improving overall movement and daily function.

Customizable

Easily tailored to meet individual client needs.

How to Use

Fill out the form honestly to ensure accurate assessment.

Discuss your responses with your coach for personalized programming.

Customization Tips

Tailor the fields based on client demographics and specific needs.
Include additional questions based on common client concerns.
Adjust the format to include checkboxes or radio buttons for ease of use.

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

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Frequently Asked Questions

What is functional fitness?

Functional fitness focuses on exercises that mimic everyday activities to improve overall physical function.

How can I measure my progress?

Progress can be measured through mobility assessments, strength tests, and improvements in daily activities.