Basic Intake Form – TKFitness

Name *

First

Last

Email *

Address *

Date of Birth (MM/DD/YY) *

Height *

Weight *

Phone Number *

Why are you interested in personal training? Please describe your reasons and goals below. *

Do you have any past or current injuries that I should be aware of? *

If none, please write “N/A.”

Are there any other considerations that I should know about? *

If none, please write “N/A.”

What is your ideal training frequency? *

Please indicate the day(s) of the week you are typically available to train. *

Please indicate the time(s) of day that you are typically available to train. *

If you were referred by a friend, please list the friend's name here.