Client Intake Form
Two week trial starts _________________ Ends ________________________
Client Intake Coach: ____________________
How did you hear about Fit in 30?
What are your fitness and overall health goals?
How often are you currently exercising?
If you are exercising what are you doing?
Please list any areas of concern for you when exercising.
Do you have joint issues of any kind such as arthritis? If so, does this limit your mobility?. .
How can we best help you reach your fitness goal for a healthy lifestyle?
Knee issues? If so, what do we need to offer for modifications?
Shoulder issues? If so, what do we need to offer for modifications?
Mobility concerns? What are they exactly and how can we accommodate?
Use the back of this form to record successful modifications, including cardio options
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Your legal name
If you have questions about the contents of this document, you can email the document owner.
Document Name: Client Intake Form
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