1:1 Training Intake Form Name * First Name Last Name Email * Age * Phone (###) ### #### How many steps do you currently get in a day? * Have you previously worked with a coach? * How was that experience? What worked and what did not work throughout that relationship? Please list any current or past injuries: * What kind of fitness programming are you currently doing? * What isn't working for you with what you're currently doing? * How would you like to feel in the next six months to one year from now in your fitness journey? * List your top 3 specific goals for what you want to achieve in your training: * Ex: get a strict pull-up, add 30# to back squat, general health and fitness, etc Are you willing to record some of your lifts during your training sessions so I can provide form checks for you? * Yes No How many days per week do you want in your program? 1 2 3 4 5 6 What equipment do you have access to? * *this helps me know what I can use in your program! Thank you!
