Prospective Client Form Name * First Name Last Name Email * Phone * (###) ### #### 📸 Instagram Handle How did you hear about me? * Instagram Referral Website Other Have you worked with a coach or trainer before? * ❌ No ✅ Yes What are your current fitness/wellness goals? * 💪 Build Muscle 🫃 Lose Weight 🏥 Improve Overall Health 🏋️ Increase Strength 🤕 Recover from Injury 🏃 Improve Endurance Other What would “success” look like for you? * Ex. “Be able to run 5k without stopping” or “Lose 10 lbs by summer” Timeline you’re hoping for * Within 3 months 3–6 months 6–12 months Not sure 🤷♂️ How many days per week are you willing/able to train? * 1 Day 2 Days 3 Days 4+ Days Preferred Way to Communicate * 📧 Email 💬 Text 📱 Phone Call 👨🏼💻 Video Call 📸 Instagram 📋 Weekly Check-In Form Do you have access to a gym or workout equipment? * ❌ No ✅ Yes Any past injuries, medical concerns, or limitations I should be aware of? * ❌ No ✅ Yes Anything else you’d like me to know? Thank you for sharing your info! I’ll review and get back to you within 48 hours.
