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Client intake Free template

Fitness client intake form template

Onboard a new personal-training or gym client: goals, lifestyle, injuries and a pre-exercise health screen, with a signature.

  • 21 questions
  • about 6 min
  • Works on Free
  • Logic
  • Scoring
  • Endings
  • Signature
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  • No sign-up to start
  • Unlimited responses on Free
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Full name*

Date of birth*

Mobile*

Emergency contact (name and relationship)*

Emergency contact number*

What’s inside the fitness client intake form template

This fitness client intake form onboards new personal-training clients online. It collects contact and emergency details, runs a pre-exercise health check that flags anyone needing GP clearance, then covers goals, lifestyle and training times. Clients sign on screen, so there is nothing to print, scan or chase.

Change any question, theme or ending in Pulseware’s free form builder, then share it by link, QR code or embed.

  • One question only appears when an earlier answer calls for it.
  • A logic rule skips ahead or ends early, based on the answers.
  • Scores every response automatically as people answer.
  • 2 thank-you screens, picked by the answers: “Thanks, …. One more step.”, “You’re all set, …”.
  • Hidden fields filled from the link: trainer, location.
  1. 1 Short answer: Full name
  2. 2 Date: Date of birth
  3. 3 Email: Email
  4. 4 Phone number: Mobile
  5. 5 Short answer: Emergency contact (name and relationship)
  6. 6 Phone number: Emergency contact number
  7. 7 Yes / No: Has a doctor told you that you have a heart condition, or have you had a stroke?
  8. 8 Yes / No: Do you get chest pain, feel dizzy or faint during physical activity?
  9. 9 Yes / No: Do you have a condition such as diabetes, asthma or epilepsy that could affect exercise?
  10. 10 Yes / No: Are you pregnant, or have you given birth in the last 12 months?
  11. 11 Yes / No: Do you have a muscle, bone or joint problem that could get worse with exercise?
  12. 12 Yes / No: Is there any other medical reason you should not exercise?
  13. 13 Long answer: Tell us more about your “Yes” answers (when needed)
  14. 14 Multiple choice: What are your main goals?
  15. 15 Slider: How many days a week are you active for 30 minutes or more? (optional)
  16. 16 Matrix / Likert: How are these going for you? (optional)
  17. 17 Multiple choice: When can you train? (optional)
  18. 18 Consent checkbox: Health and safety
  19. 19 Consent checkbox: Changes to my health
  20. 20 Signature: Signature
  21. 21 Date: Date

Why this template works

  • Any "Yes" in the health check shows a clearance note and a different ending.
  • On-screen signature and consent, stored with the response.
  • Clients can save and finish later on their phone.

Works with

Connect these after you publish, from the Connect tab.

  • Email me Get each new client by email
  • Google Sheets Keep a client list (or use Airtable)
  • Zapier Add clients to your booking or PT software
  • Copy of answers emailed to the client Pro
  • PDF of each response Coming soon

Questions about this template

Is this an official APSS or PAR-Q form?

No. It follows the same screening themes, and you should align the wording with the screening tool your business or insurer requires.

Can clients sign on their phone?

Yes. The signature block works with a finger or mouse and saves the signature with the response.

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