Fitness Intake Form IMPORTANT: Please read the Disclaimer before submitting this form. Name Age Email Weight (lbs) Height (Feet) Body Fat Percentage (If known) Where will you work out? —Please choose an option—GymHomeBoth List all equipment you have available to you at home. Do you have any injuries, illnesses, or conditions that I should be aware of that could impact your physical abilities? What are your Fitness/Physical Goals? What are your Non-Fitness/Physical Goals? How many days can you work out a week? Is there anything else you want to mention? I have read and agree to the Disclaimer.