KALEFIT COACHING

New Client Intake & Health Questionnaire

Welcome to KaleFit Coaching. This document-style intake helps me understand your goals, experience, lifestyle, health history, and individual needs so I can create a personalized, realistic coaching approach.

Coaching selection

Choose the program that feels like the best fit right now.

1:1 in-person single session — $55A single, focused personal training session in Fayetteville.3-month online coaching contract — $125/monthCustomized training plan, weekly check-ins, and accountability with a three-month commitment. When your contract is complete, you can continue month to month for $145/month.6-month online coaching contract — $100/monthCustomized training plan, weekly check-ins, and accountability with a six-month commitment. When your contract is complete, you can continue month to month for $145/month.

Meal plan add-on

Client identity

Full nameEmail address

1. Client information

Start with the details that help KaleFit Coaching reach you and understand the kind of support you are looking for.

Date of birth *

Age *

Preferred pronouns (optional)

Phone number *

Occupation *

Emergency contact name *

Emergency contact phone number *

Relationship to you *

Coaching service interested in *

Client acknowledgment, consent, and safety confirmation

Please confirm that your answers are accurate, that you consent to KaleFit Coaching collecting and using the sensitive information you provide for coaching purposes, and that you understand coaching is not medical care.

I certify that the information I provided is accurate and complete to the best of my knowledge.I consent to KaleFit Coaching collecting, using, and retaining the sensitive information I provide to assess coaching suitability and support my coaching experience.I understand I remain responsible for seeking appropriate healthcare advice and will stop exercise and seek care if I experience concerning symptoms.

New Client Intake & Health Questionnaire

Coaching selection

Client identity

1. Client information

2. Your goals

3. Training and exercise experience

4. Training availability and access

5. Health, injuries, and medications

6. Nutrition, lifestyle, and recovery

7. Coaching and accountability

Client acknowledgment, consent, and safety confirmation