Fitness Coach Client Intake Questionnaire: Health History, Goals, and Readiness
Fitness Coach Client Intake Questionnaire: Health History, Goals, and Readiness
When taking on a new fitness or nutrition coaching client, jumping straight into workout programming without an intake audit is a recipe for client injury, poor results, and liability risks.
You need to know:
- Do they have past joint injuries or cardiovascular conditions?
- What does their typical daily nutrition and sleep look like?
- What are their actual, measurable fitness goals?
- How many days a week can they realistically commit to training?
A comprehensive Fitness Client Intake Questionnaire establishes a professional foundation, sets realistic expectations, and legally protects your coaching business.
Here is the trainer-approved intake blueprint used by elite online coaches and personal trainers.
The 4 Core Sections of a Fitness Intake
Section 1: PAR-Q Physical Readiness & Health History
│
▼
Section 2: Training Experience & Equipment Access
│
▼
Section 3: Nutrition Baselines & Lifestyle Habits
│
▼
Section 4: Goals, Motivation & Liability E-Signature
Section 1: PAR-Q & Medical Health History
Before designing high-intensity workouts, every coach must administer the standardized Physical Activity Readiness Questionnaire (PAR-Q):
- "Has your doctor ever said that you have a heart condition or high blood pressure? [Yes / No]"
- "Do you feel pain in your chest when engaging in physical activity? [Yes / No]"
- "Do you have a bone, joint, or spinal issue that could be aggravated by exercise? [Yes / No]"
- "Past Surgeries or Chronic Injuries (Knees, Lower Back, Shoulders):"
[ Textarea ]
If the client answers "Yes" to cardiovascular questions, your form logic should flag the submission and require a physician's medical clearance note.
Section 2: Equipment & Schedule Feasibility
Avoid designing barbell deadlift programs for a client who only has two dumbbells in their living room!
- Equipment Access:
Commercial Gym,Home Gym with Barbell & Rack,Dumbbells / Bands Only,Bodyweight Only. - Weekly Frequency Commitment: "How many days per week can you consistently dedicate 45-60 minutes to training? [ 2 / 3 / 4 / 5+ Days ]"
Section 3: Nutrition & Daily Lifestyle Baselines
- Daily Sleep Average:
< 6 Hours,6 - 7 Hours,7 - 8 Hours,8+ Hours. - Occupational Activity Level:
Sedentary Desk Job,Moderately Active (Standing/Walking),Physically Demanding Labor. - Dietary Restrictions / Allergies:
Vegetarian,Vegan,Gluten-Free,Dairy-Free,None.
Section 4: Goals & Liability Waiver
- Primary 90-Day Goal:
Fat Loss,Muscle Hypertrophy,Athletic Strength,General Health. - Target Weight / Body Composition Milestone:
[ Number input ] - Liability Waiver & E-Signature: Native signature canvas acknowledging exercise risks and confirming accuracy of medical history disclosures.
Conclusion: Professional Intake Builds Retention
Clients don't hire coaches just for workouts; they hire coaches for accountability and structure.
Presenting a polished, branded digital intake form signals that you are an elite professional, commands premium pricing, and sets your clients up for lasting physical transformation.