Client Intake Form Template for Swimming & Aquatic Fitness

Use in FirstRep form

Personal Information

Collects essential information about the client to tailor their swimming program.

Aa Full Name *

John Doe

# Age *

Aa Email Address *

[email protected]

Aa Phone Number

(123) 456-7890

Swimming Experience

Gathers information about the client's swimming background and skill level.

v Swimming Level *

... Previous Coaching Experience

Describe any past coaching experiences.

vv Preferred Stroke(s)

... Goals for Swimming *

What do you hope to achieve?

Health and Safety

Important information regarding the client's health and safety considerations while swimming.

Y/N Do you have any medical conditions? *

... If yes, please specify

List any medical conditions.

Y/N Are you currently taking any medications? *

... If yes, please specify

List any medications.

Access to Facilities

Understanding the client's access to swimming facilities for training.

Y/N Do you have regular access to a pool? *

Aa Location of Preferred Pool

City/Area name

v Availability for Training Sessions *

Training Preferences

Understand the client's preferences for training styles and methods.

v Preferred Training Style *

Y/N Interest in Technique Workshops

v Preferred Training Frequency *

Y/N Do you use any swim tracking devices?

Goals and Motivation

Helps in setting specific goals and understanding client motivation.

... Short-term Goals *

List your short-term swimming goals.

... Long-term Goals *

List your long-term swimming goals.

... What motivates you to swim? *

Describe your motivation.

Why Use This Template

Personalized Coaching

This form helps coaches understand each client's unique needs and abilities.

Effective Program Design

Collecting detailed information allows for customized training programs.

How to Use

Have clients fill out the form before their first session.

Review the responses to tailor their swimming program.

Customization Tips

Consider adding a section for swim competition history.
Include a field for clients to upload a swim video if applicable.
Tailor questions based on the specific aquatic program offered.

Build and send swimming & aquatic fitness templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

What if I have no swimming experience?

This form is designed for all skill levels, including beginners. We'll create a program that suits your starting point.

Can I fill this out if I don't have access to a pool?

Yes, you can still fill out the form, and we can plan alternative training methods.