About this template
A pre-exercise health questionnaire is an essential tool for personal trainers, gym owners, physical therapists, and wellness coaches to evaluate a client's physical readiness, medical history, and potential risk factors before starting any exercise program. Collecting this information upfront ensures client safety, helps tailor workout intensity to individual capabilities, and identifies any conditions that require medical clearance.
This comprehensive template covers personal details, emergency contacts, pre-existing medical conditions, current medications, lifestyle habits, and liability acknowledgments. By deploying this form digitally via Doc2Form, you streamline your client onboarding workflow, keep health records organized in Google Drive, and ensure every participant is cleared for physical activity before stepping onto the gym floor or joining a training session.
Key features
- Screen new clients quickly and securely before their first workout
- Identify pre-existing injuries, medical conditions, and medications
- Collect emergency contact details for enhanced gym safety
- Include liability waivers and photo consent acknowledgments
- Manage all health screening submissions directly in Google Sheets
Use cases
- New client onboarding at personal training studios and local gyms
- Health and readiness screening for group fitness classes or bootcamps
- Physical activity clearance for corporate wellness programs
- Initial intake for post-natal or specialized fitness coaching
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Date of Birth (Date)Please provide your birth date.
- Gender (Multiple choice)Select your gender or choose not to say.
- Email Address (Short answer)We will use this to send you session updates and workout plans.
- Phone Number (Short answer)Best number to reach you during the day.
- Emergency Contact Name (Short answer)Name of a family member or friend we can contact in an emergency.
- Emergency Contact Phone Number (Short answer)Phone number for your emergency contact.
- Session Interest (Checkboxes)What type of training or sessions are you interested in?
- Health Condition History (Checkboxes)Do you currently have or have you ever had any of the following conditions?
- Pre-Existing Condition Details (Paragraph)If you checked any conditions above or have any other health concerns, please provide details.
- Current Medications (Paragraph)List any prescription or over-the-counter medications you currently take regularly.
- Medical Clearance Status (Multiple choice)Has your doctor ever advised you that you should only do physical activity recommended by a doctor?
- Current Exercise Level (Dropdown)Describe your current physical activity and exercise habits.
- Waiver Acknowledgement (Short answer)Type your full legal name to acknowledge that you understand physical exercise involves inherent risks and you participate at your own risk.
FAQ
What is a pre-exercise health questionnaire?
It is a screening tool used by fitness professionals to assess a client's health history, current fitness level, and potential medical risks before they begin an exercise program.
Why is this questionnaire important for trainers?
It protects both the client and the trainer by identifying underlying health issues that may require medical clearance or workout modifications, ensuring safe physical training.
Can I customize the questions in this Google Form template?
Yes! Once you generate the form using Doc2Form, you have full control in Google Forms to add, remove, or edit any questions to match your specific training facility needs.
How do I share this health questionnaire with new clients?
You can easily share your form via a direct link in welcome emails, embed it on your website, or have clients fill it out on a tablet when they arrive for their session.
Where are client responses stored?
All submissions are automatically collected in Google Forms and can be linked directly to Google Sheets for seamless client management and record keeping.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.