New Client Intake Form

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Help us get to know you better

Before you start

This form helps your coach understand your goals, training background, nutrition habits, and current starting point.

Answer honestly

Give as much detail as you can so your coach can build the right plan for you.

Upload 4 photos

Add front, left side, right side, and back physique photos in good lighting.

Submit when finished

Review your answers, then submit your intake so your coach can get started.

Measurements

Current Physique Photos *

FrontUpload Front

Left SideUpload Left Side

Right SideUpload Right Side

BackUpload Back

Age

Height (inches)

Fasted Weight (lbs)

Goal Weight (lbs)

Short and Long Term Goals

1 Month Goal

3 Month Goal

6 Month Goal

1 Year Goal

Workout Schedule & Preferences

Fitness Experience

How Many Days Per Week Do You Lift?

What Time Do You Prefer to Workout?

How Much Time Do You Have Available to Workout?

Gym Access

Favorite Body Part to Train

Are You More Comfortable on Free Weights or Machines?

How Many Days Per Week Do You Do Endurance Cardio?

How Many Days Per Week Do You Do HIIT?

Current Routine (Example: Typical Upper/Lower Training Day)

Injuries & Exercise Limitations

Injuries or Exercises That Cause Pain

Contraindicated Exercises By Your Physician

Nutrition - Food Preferences

Do You Like Chicken Breast?

Do You Prefer Salmon, Tilapia, Cod, or Flounder?

Egg Whites?

Whole Eggs?

Can You Digest Red Meat Well or Does It Give You Heartburn/Upset Stomach?

Digestive Issues With Whey Protein Supplements?

Dairy Allergies?

Nut Allergies?

Other Allergies

Nutrition - Eating Habits & Intake

Wednesday, Thursday, Friday Last Week - Meals & Macros

What Did You Eat This Weekend?

Alcohol Intake?

Do You Feel Tired After You Eat a Carb-Heavy Meal?

How Would You Describe Your Relationship to Carbs?

How Much Water Do You Drink Per Day?

List Supplements You Take (Or Send Pictures)

Contraindicated Foods By Physician

Medical & Hormonal Health

When Was Your Last Cycle & What Phase Are You Currently In?

History of Low Free T3 (Clinical/Subclinical Hypothyroidism)

History of Hashimotos?

Other Autoimmune Conditions

History of Low Estrogen/Progesterone/Testosterone?

Are You on HRT (Hormone Replacement Therapy)?

Medical Conditions

Dietary Restrictions

Additional Information

Available Equipment

Typical Daily Activity

Questions or Concerns?