PERSONAL TRAINING INTAKE FORMOnce the form below is completed, our Crew will be in contact with you to match you with a potential trainer. Section 1: Personal Information Name * First Name Last Name Pronouns * Date of Birth * MM DD YYYY Contact Email * Phone * (###) ### #### Section 2: Goals + Preferences What inspired you to start personal training? * What are your top 2–3 goals? * What type of training are you most interested in? * Strength / Resistance Mobility / Pilates Functional Fitness Cardio Conditioning Other If 'Other', please describe: Preferred Frequency: * 1x/week 2x/week 3x/week Other / Not sure yet How would you describe your ideal coaching style? * Motivational and Structured Gentle and Mindful A mix of both Do you have a trainer preference? * Sarah Hiscock Kelli Slaney No preference What is your availability? * Please select all that apply: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Morning (6–10 AM) Midday (10–2 PM) Afternoon (2–5 PM) Evening (5–8 PM) Section 3: Physical Activity Readiness Questionnaire (PAR-Q) (Adapted from ISSA + CSEP guidelines) ISSA-CPT-PAR-Q-Rev2 Has your doctor ever diagnosed you with a heart condition and told you to only do physical activity they supervise? * Yes No Does your doctor currently prescribe medication for your blood pressure or heart condition? * Yes No Do you feel chest pain during physical activity? * Yes No Have you experienced dizziness, loss of balance, or fainting in the last 12 months? * Yes No Do you have a bone, joint, or soft tissue problem that may be worsened by physical activity? * Yes No In the past 30 days, have you had chest pain at any time? * Yes No In the past 30 days, have you had chest pain at any time? * Do you know of any other reason why you should not do physical activity? Yes No Section 4: Emergency + Consent By submitting this form, I confirm that the information I have provided is accurate and complete to the best of my knowledge. I understand that if I answered “Yes” to any PAR-Q question, I should seek medical clearance prior to beginning a personal training program. * Yes Thank you for completing your Personal Training Intake Form. Our Crew will be in touch soon to match you with a potential trainer.
