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Coaching Intake Form

This form helps me understand your goals, training history, lifestyle, and any limitations or injuries so I can build a safe and effective program tailored specifically to you.

Please answer as honestly and thoroughly as possible, the more accurate your responses, the better I can coach you.

Most people complete this form in around 5–10 minutes.

Full name

Age

Email

Mobile Number

Occupation

Instagram handle (Optional)

Goals

What are your main fitness goals?

Why are these goals important to you right now?

What would success look like for you over the next 3–6 months?

Which areas are you most interested in improving?

A
B
C
D
E
F
G
H
I

Training Background

How would you describe your current activity level?

A
B
C
D

Are you currently training?

A
B
IF YES:

What does your current training routine look like?

How many days per week are you realistically able to train?

Do you have access to a gym?

A
B
C
D

How experienced are you with resistance training?

A
B
C

Lifestyle & Recovery

On average, how many hours of sleep do you get per night?

How would you rate your current stress levels?

How would you describe your current nutrition habits?

What does a typical workday look like for you?

Do you have any major lifestyle factors that could impact training consistency?

Health & Injury History

Do you currently have any injuries, pain, or physical limitations?

A
B
IF YES

Please describe them

Have you had any major injuries or surgeries in the past?

Coaching Expectations

What do you feel has held you back in the past?

What type of coaching/support helps you most?

What are you hoping to get most from coaching?

Is there anything else you'd like me to know?

Final Agreement