Client Intake Form Template for Men's Fitness & Physique

Use in FirstRep form

Personal Information

This section helps us understand your background and fitness goals.

Aa Full Name *

John Doe

# Age *

25-55

Aa Email Address *

[email protected]

Aa Occupation *

Your job title

Fitness Goals

Understanding your objectives helps tailor the program to your needs.

v What is your primary fitness goal? *

# Desired weight (lbs) *

Current and target weight

v How many days a week do you want to train? *

Current Fitness Level

Assessing your current fitness status allows for a better starting point.

... Current workout routine *

Describe your current workouts

Y/N Any existing injuries? *

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

Family and Lifestyle

Understanding your lifestyle helps us create a realistic plan.

Y/N Do you have children? *

# How many hours do you work per week? *

e.g., 40

Y/N Do you travel frequently for work? *

Nutrition and Supplementation

Your nutrition plays a vital role in achieving your fitness goals.

v Current diet type *

... Any supplements currently taking?

List your supplements

Y/N Concerns about hair loss with supplementation?

Motivation and Mindset

Understanding your motivation can help keep you focused.

... What motivates you to get fit? *

Your reasons for fitness

... How do you handle setbacks? *

Describe your approach

Why Use This Template

Tailored Approach

Customize your training to fit your life and goals.

How to Use

Fill out each section as thoroughly as possible to provide valuable insights.

Customization Tips

Adjust field labels to match your coaching style.
Add or remove fields based on your client needs.
Include a section for previous workout history if relevant.

Build and send men's fitness & physique templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How long does it take to see results?

Results vary, but with dedication, you can expect to see changes in 8-12 weeks.

Is this program suitable for beginners?

Yes, this program is designed to cater to all fitness levels.