Client Intake Form Template for Fitness for Remote Workers

Use in FirstRep form

Personal Information

Gather essential details to tailor fitness plans for remote workers.

Aa Name *

Enter your full name

Aa Email *

Enter your email address

# Age *

Enter your age

Aa Occupation *

What is your job title?

Current Fitness Level

Understand where clients currently stand in their fitness journey.

v Current Activity Level *

# How many days do you exercise per week? *

Enter number of days

... Describe your current workout routine

Briefly describe your current routine

Work Environment

Assess the home office setup and potential distractions.

Y/N Do you have a dedicated workout space? *

... Describe your workspace setup

Briefly describe your workspace

vv What distractions do you face while working out?

Motivation and Goals

Identify personal motivations and fitness goals.

... What motivates you to stay fit? *

Share your motivations

... Set your fitness goals *

Short-term and long-term goals

v How do you prefer to stay accountable?

Health Considerations

Collect any health-related information that may affect fitness.

... Do you have any pre-existing health conditions?

Briefly describe any conditions

Y/N Are you currently on any medication?

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

Preferred Workout Types

Identify preferred workout styles and activities.

vv What type of workouts do you enjoy? *

# How much time can you dedicate to workouts each day? *

Enter minutes

Why Use This Template

Understanding the client

Gathering detailed information helps tailor fitness plans.

Identifying barriers

Understanding distractions and challenges can aid in overcoming them.

How to Use

Fill out each section with honest information.

Submit the form to receive a personalized fitness plan.

Customization Tips

Add fields for specific fitness interests or hobbies.
Include checkboxes for preferred workout times (morning, afternoon, evening).
Allow space for clients to upload photos of their workout space.

Build and send fitness for remote workers 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?

The form typically takes about 10-15 minutes to complete.

Can I save and return to the form later?

Currently, the form must be completed in one sitting.