new client intake form Name * First Name Last Name Email * Phone * (###) ### #### What goals are you looking to achieve? How long have you been thinking about these goals? On a scale of 1-10, how important to you are these goals? 1 2 3 4 5 6 7 8 9 10 If not a 10, why not? In regards to your diet and training, what have you tried in the past? What has worked well for you and what has not? Do you have any injuries or health concerns? If so, list below. Thank you!