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Questionnaire template

New Client Fitness Questionnaire

Intake form for new fitness clients covering current activity, health issues, goals and training preferences.

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Sports · Fitness. All Sports templates

Questions in this template

About You

  1. Welcome. Please answer these questions before your first session so your coach can plan training that is safe and suited to your goals.

  2. Which age group are you in?

    Choose one from a list:

    • Under 18
    • 18-24
    • 25-34
    • 35-44
    • 45-54
    • 55-64
    • 65 or older

  3. What is your gender?

    Choose one:

    • Female
    • Male
    • Non-binary
    • Prefer not to say

Your Current Activity

  1. In a typical week, on how many days are you active for at least 30 minutes?

    A number from 0 to 7

  2. Which activities do you currently do?

    Condition: Only for people who are active at least one day a week

    Choose any that apply:

    • Walking
    • Running
    • Cycling
    • Swimming
    • Weight training
    • Fitness classes
    • Team sports
    • Yoga or Pilates

  3. How long does a typical session last?

    Condition: Only for people who are active at least one day a week

    Choose one:

    • Less than 30 minutes
    • 30-45 minutes
    • 45-60 minutes
    • More than 60 minutes

  4. How would you rate your current fitness?

    Choose one:

    • Very poor
    • Poor
    • Average
    • Good
    • Very good

Health and Readiness

  1. Do any of these apply to you at the moment?

    Choose any that apply:

    • A heart condition or high blood pressure
    • Asthma or another breathing problem
    • Joint, muscle or back pain
    • An injury or operation in the past 12 months
    • Diabetes
    • Pregnancy or having given birth in the past 6 months
    • Something else
    • None of these

  2. What other health matter should we know about?

    Condition: Only when Something else was selected

    Open answer

  3. What should your coach know about these, for example movements that cause discomfort? (optional)

    Condition: Only when a health matter was reported

    Open answer

  4. Has a doctor ever advised you to limit or avoid certain kinds of exercise?

    Choose one:

    • Yes
    • No
    • Not sure

Goals and Preferences

  1. What is the main thing you want to achieve?

    Choose one from a list:

    • Lose weight
    • Build strength
    • Improve endurance
    • Improve flexibility
    • Reduce stress
    • Train for an event
    • Improve general health

  2. How would you prefer to train?

    Choose one:

    • One-to-one with a coach
    • In a small group
    • In a larger class
    • On my own, following a plan

  3. How many training sessions a week can you realistically commit to?

    A number from 1 to 7

  4. How motivated do you feel to start a new routine right now?

    A number from 0 to 10

  5. Is there anything else you would like your coach to know? (optional)

    Open answer