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Senior Fitness Intake Form

Welcome over-50s clients with a friendly intake, capturing their goals, activity, health, and medications in one form.

Description

The Senior Fitness Intake Form gives trainers a warm, thorough way to welcome over-50s clients. It captures what they would like to achieve, how active they are now, and anything they would like support with, so you can build training that meets them where they are.

Fields for health conditions, injuries, whether they are under a doctor’s care, and their current medications keep coaching safe, while an emergency contact and health declaration cover the essentials. Capturing how they prefer to train means sessions are comfortable, effective, and enjoyable.

The right coaching keeps people strong for life. Sign up for a free Fun Forms account to customize the fields and embed this intake form on your website.

Form fields

Everything the Senior Fitness Intake Form above collects — 13 fields, so you can see exactly what it captures before you make it your own.

Stay Strong at Every Age

  • What would you like to achieve?

    Multi-Select Icon
    Multi-Select

  • How active are you currently?

    Dropdown Icon
    Dropdown

  • Anything you'd like support with?

    Multi-Select Icon
    Multi-Select

  • Tell us about any health conditions or injuries

    Long Answer Icon
    Long Answer

  • Are you under a doctor's care for anything?

    Yes/No Icon
    Yes/No

  • Current medications (medication, dose, frequency, reason)

    Table Icon
    Table

  • How would you prefer to train?

    Dropdown Icon
    Dropdown

  • Your name

    Name Icon
    Name

  • Age

    Number Icon
    Number

  • Email address

    Email Icon
    Email

  • Phone number

    Telephone Icon
    Telephone

  • Emergency contact (name & number)

    Short Answer Icon
    Short Answer

  • Health declaration

    Consent Icon
    Consent
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Template FAQs

Common questions about the Senior Fitness Intake Form — what it captures, when to use it, and how to make it your own.

What is a senior fitness intake form?

A senior fitness intake form is an online form used to welcome over-50s clients to training. It captures their goals, activity, health, and medications, so a trainer can build safe, appropriate coaching that meets each client where they are.

Why capture a client’s current medications?

Knowing a client’s medications is important context for safe coaching, as some can affect heart rate, balance, or exertion. Capturing them, without giving medical advice, helps you train appropriately and work alongside their doctor’s care, keeping older clients safe as they get stronger.

Why ask if a client is under a doctor’s care?

Knowing whether a client is under a doctor’s care for anything flags conditions you should coach around. It helps you train within appropriate limits, work alongside their medical guidance, and ensure sessions are safe and suitable for their health and circumstances.

Why ask how a client prefers to train?

Asking how an over-50s client prefers to train respects their comfort and helps you build sessions they will enjoy and sustain. Whether they want gentle, social, or challenging training, matching the approach to their preference keeps them engaged and coming back.

Why include an emergency contact and health declaration?

An emergency contact and health declaration cover the safety essentials for older clients. The declaration confirms readiness and flags anything to note, while the contact means help can be reached quickly if needed, so clients train with confidence and are well looked after.

Is the senior fitness intake form free?

Yes, this senior fitness intake form is completely free, and you can customize the fields to fit your coaching, embed it on your website, and go live with no coding required. Just create a free Fun Forms account to start welcoming clients online.

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