Client Information

Name: __________________________ Date: ___________________

Phone Number: _____________________________________________
Weight (Date): ___________________________ Height: ____________
Body Fat Percentage (Date): ______________ Age: ________________
Have you ever had a personal trainer?
If yes, how was your experience? What kind of work did you do? Why are you no longer training with
them?
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Are you nervous right now? ___________________________________________________________
What are you training for?
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Do you have a specific goal and timeline you want to achieve your fitness goal?
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What steps have you taken to prepare you to achieve that goal?
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Medical History
How are you feeling today? (Energy, health, pain-free etc.)
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Please list all diagnosed health conditions:
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Are you currently taking any medications?
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What injuries have you ever had/have now?
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Is there anything in fitness/nutrition/health that you would like to know more about?
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