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Client Intake Form for Fitness Business
please take a few minutes of your time to complete the following questionnaire.
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Secured
Survio
1
What are your primary fitness goals?
Please select the main objectives you wish to achieve through your fitness journey.
Weight loss
Muscle gain
Improved flexibility
Cardiovascular fitness
2
On a scale of 1 to 10, how would you rate your current physical condition?
Rate your overall physical health and fitness level from 1 being poor to 10 being excellent.
3
What are your workout preferences?
Please describe the type of exercises or activities you enjoy doing during your workouts.
4
Do you have any health limitations or injuries that may affect your fitness routine?
Inform us about any medical conditions, injuries, or physical limitations that may impact your workouts.
5
What is your typical weekly schedule availability for workouts?
Let us know the days and times you are usually available to exercise during the week.
6
How often do you currently exercise in a week?
Specify the number of days you currently engage in physical activity per week.
0 days
1-2 days
3-4 days
5-7 days
7
What is your preferred type of workout?
Indicate the type of exercises you enjoy the most or would like to incorporate into your fitness routine.
Cardio (e.g., running, cycling)
Strength training (e.g., weightlifting)
Yoga/Pilates
Group classes (e.g., Zumba, spinning)
8
Are you currently following any specific diet plan?
Inform us if you are adhering to a particular dietary regimen or have specific nutritional preferences.
Yes
No
9
How do you track your progress in fitness or health goals?
Share how you monitor and measure your achievements in terms of fitness or health improvements.
10
What motivates you to stay committed to your fitness journey?
Tell us about the factors that inspire and drive you to maintain consistency in your workouts.
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