Client Intake Form Template for Fitness Over 40

Use in FirstRep form

Personal Information

Gathering personal details helps tailor fitness programs to individual needs.

Aa Full Name *

Enter your full name

# Age *

Enter your age

v Gender *

Aa Email Address *

Enter your email for contact

Health History

Understanding your health history is crucial for safe and effective training.

Y/N Do you have any chronic conditions? *

... If yes, please specify:

List any chronic conditions

Y/N Have you had any injuries in the last 5 years? *

... Please describe any previous injuries:

List injuries and recovery status

Fitness Goals

Setting clear goals helps guide your fitness journey effectively.

vv What are your primary fitness goals? *

# How much time can you commit to exercise weekly? *

Hours per week

vv What type of workouts do you prefer? *

Lifestyle Assessment

Understanding your lifestyle helps in crafting a suitable fitness plan.

Aa Occupation *

What is your current occupation?

# How many hours do you work per week? *

Work hours

Y/N Do you engage in any other physical activities? *

... If yes, please specify:

List other activities

Nutritional Habits

Assessing your diet is key to supporting your fitness goals.

v How would you describe your eating habits? *

Y/N Do you have any dietary restrictions? *

... If yes, please specify:

List dietary restrictions

# How many meals do you eat per day? *

Meals per day

Recovery and Mobility

Assessing recovery needs aids in planning safer workouts.

Y/N Do you experience joint stiffness? *

... What areas do you feel stiffness in?

Specify areas of stiffness

Aa How do you typically recover after workouts?

Describe your recovery methods

Y/N Do you use any recovery aids? (e.g., foam rollers, massage) *

Why Use This Template

Tailored Fitness Plans

Understanding unique needs allows for customized workout plans.

Health Safety

Identifying health conditions helps avoid injuries.

Goal Setting

Clear goals enhance motivation and track progress.

How to Use

Fill out each section honestly to provide accurate information.

Submit the form to your fitness coach for review.

Discuss your responses in your first consultation.

Customization Tips

Add your own branding to the template for a personal touch.
Include motivational quotes to inspire clients.
Adjust the questions based on specific services you offer.

Build and send fitness over 40 templates digitally with FirstRep. Free for up to 3 clients.

Start for Free See All Features

Frequently Asked Questions

How long does it take to complete the form?

Most clients complete the form in about 10-15 minutes.

Can I update my information later?

Yes, you can always reach out to update your details as needed.

Is my information confidential?

Absolutely, all information is kept private and secure.

Personal Information

Health History

Fitness Goals

Lifestyle Assessment

Nutritional Habits

Recovery and Mobility

Why Use This Template

Tailored Fitness Plans

Health Safety

Goal Setting

How to Use

Customization Tips

Frequently Asked Questions

Related Resources