Intake, conversational form

Personal training intake template

Intake before the first session: goals, training history, frequency, body measures, injuries and contact details.

15 questions, 14 required, as a conversational form

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The Personal training intake template as a respondent sees it, first question

Every question

  1. What do you want out of training? (required)

    Multiple choice: Get stronger, Lose body fat, Build muscle, Move without pain, Improve fitness for a sport, Build a habit that survives a busy month, Rehabilitate after an injury, alongside a therapist, Prepare for an event or a test, Feel less tired during the day

  2. Has a doctor ever told you that you have a heart condition, or that you should only exercise under medical supervision? (required)

    Single choice: No, Yes, Not sure

  3. Do you get chest pain when you are physically active? (required)

    Single choice: No, Yes, Not sure

  4. In the last month, have you had chest pain while you were at rest? (required)

    Single choice: No, Yes, Not sure

  5. Do you lose your balance from dizziness, or have you ever lost consciousness? (required)

    Single choice: No, Yes, Not sure

  6. Do you have a bone or joint problem that could be made worse by exercise? (required)

    Single choice: No, Yes, Not sure

  7. Are you currently prescribed medication for blood pressure or a heart condition? (required)

    Single choice: No, Yes, Not sure

  8. Do you know of any other reason you should not do physical activity? (required)

    Single choice: No, Yes, Not sure

  9. How much training have you done before? (required)

    Single choice: None, this is the first time, Gym on and off, never with a program, Followed programs from an app or the internet, Trained with a coach before, Competed in a strength or endurance sport, Used to train seriously, then stopped for years

  10. Injuries, surgeries and anything that still hurts (required)

    Long answer

  11. How many sessions a week can you genuinely commit to? (required)

    Single choice: One session a week, Two sessions a week, Three sessions a week, Four or more sessions a week, It varies week to week

  12. Your height in centimetres (required)

    Number

  13. Your weight in kilograms (required)

    Number

  14. Your waist measurement in centimetres, at the navel

    Number

  15. How does your trainer reach you? (required)

    Profile

What you fill in

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