Client Intake Form

Name *

Email address *

What are your fitness goals?

Please select at least one option.

Weight loss

Muscle gain

Increased endurance

Improved flexibility

Overall health

How many days a week do you currently exercise?

What type of workouts do you prefer?

Please select at least one option.

Cardio

Weight Training

Strength & Conditioning

HIIT

What is your current fitness level?

Do you have any dietary restrictions or preferences?

Please select at least one option.

None

Vegetarian

Gluten-free

Dairy-free

How did you hear about secret self fitness?

Additional questions or comments

Secret Self Fitness