AqilFitness Training Solutions Client Intake Form

CLIENT INTAKE FORM

Apply Here

Please take a moment to fill out the form.

(If you are filling this out for someone else - child/ spouse, please input their information below.)

First Name

Last Name

Height

Age

Current Weight

What is your occupation?

What is your typical daily activity level?

How many days per week do you currently strength train/ workout?

Do you have any previous injuries/ areas of concern? Explain below.

What are your primary fitness goals?

Why is this goal important to you?

What is your desired timeline to reach this goal?

Have you worked with a personal trainer before?

Please describe your current daily food intake (breakfast, lunch, dinner, snacks)

Please describe your current daily hydration

Please describe your current sleep habits

Do you consume other wellness services? (physical therapy, assisted stretch sessions, cold plunge, sauna, massage therapy)

Are you applying for Ninja Warrior Coaching? If so, what level are you?

Beginner

Intermediate

Advanced

Are you applying for athletic performance training? If so, please list your sport and explain:

When can you begin training? Please list date/time

Training will require some home equipment. If you have any available to you, please list what you have. If you do not, are you willing to purchase a few items to enhance your progression?

Anything else I should know?

Thanks for submitting!