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New Client Intake Form

Please fill out the New Client Form by clicking this Link.

 

1. Client Information Form

Basic demographic and contact information.

Common Fields:

  • Full Name
  • Phone Number
  • Email Address
  • Gender

2. PAR-Q+ (Physical Activity Readiness Questionnaire)

A standard fitness screening form used to determine whether a client should seek medical clearance before exercising.

Common Fields:

  • Current medications
  • Previous surgeries
  • Chronic illnesses
  • Heart conditions
  • Diabetes
  • High blood pressure
  • Joint issues
  • Pregnancy status
  • Recent injuries
  • Heart conditions
  • Chest pain
  • Dizziness
  • Loss of consciousness
  • Blood pressure concerns
  • Other medical conditions that may affect exercise

3. Liability Waiver & Release

Explains the risks associated with exercise and ensures the client understands their responsibilities.

Includes:

  • Assumption of risk
  • Release of liability
  • Emergency medical authorization
  • Agreement to follow instructions
  • Signature and date