New Client Intake Form
Please fill out this form to help us create a
customized personal training experience for you
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Filling out our client intake form usually takes about 10 minutes.

This form helps us prepare for your consult and provide you with a custom workout program.
 
Contact Information

 
First Name *

 
Last Name *

 
Phone Number *

 
Date of Birth *

 
Street Address *

 
Zip Code *

 
Gender: Male or Female? *


 
Height

 
Weight

 
Weight when you were 21 years old

 
How Important is Mobility / Flexibility / Corrective Exercise to you?


 
Trainer Preference

Do you prefer a male or female trainer

 
The 7 Aspects to Workout Program Design

When we build new programs at Sand & Steel, we design it to have a primary and secondary focus.  To help us pick the optimal program for you, please rank the following workout program aspects in terms of importance to you.

7 means primary focus, and a 1 means not important.  There are 7 questions to the next section, please use each number once (e.g. don't put 7 for everything :-) )
 
Hypertrophy Focus

Emphasis on muscle volume development e.g. Bodybuilding style programming.
 
Strength Emphasis

E.g. Power Lifting or Functional Strength Training
 
Weight Loss

Some of our programs are designed to burn fat -- pure and simple.  Bring the Sweat.
 
Mobility and Flexibility

Build the requisite flexibility and neurological control (coordination) to enable specific joints and muscles to perform a specific exercise correctly.
 
Conditioning and General Physical Preparedness

Build the capacity to do workout or athletic activity that comes in your way.  Last longer playing tennis, ski that extra run at 4:00PM, and generally have more energy for every day tasks.  Conditioning builds willpower and the ability to keep going when others quit.
 
Sports Specific Training and Durability

Elevate your golf and tennis game, dominate your next hike, out ski your friends in Vail.  Whatever your game, we can make you better and more resistant to injury.
 
Corrective Exercise and Recovery

Have an injury or two?  That's OK!

If you are already in pain, we can help by providing you with the corrective exercises to strengthen the biomechanical weaknesses causing your pain.

If you are not in pain, but you are susceptible to injury (e.g. bulging discs, rotator cuff injury, history of pulling hamstrings, etc) we can analyze your movement patterns, and build muscle to strength weaker areas to improve your resistance to re-injury.
 
Whew!  Half-way through!  Just a few more questions on your personal preferences and health history to go.

 
Workout Programming Preferences

We specialize in matching the right program to the right client.  To do that effectively, we need to know what you like and what you don't like.
 
How Many Times Per Month Would you Like to Train at Sand & Steel? *

Pricing is $81-$87 per session.
 
Have you hired a personal trainer before? What was your experience with that coach?

 
There are lots of gyms that offer personal training ... what made you decide to try us out?

 
My Current Fitness Regime Includes:

Yes, we can build you a program that works with your other fitness programming.

 
Do You have any fitness or yoga certifications? *

     
 
What brought you Sand & Steel?


 
How Intense Do you Like to Train?

1 bolt is slow and steady and 10 bolts means very intense.  Keep in mind, we always prioritize safety. Your choice tells us how hard you like to be encouraged.










 
Describe the kind of Programming / Training you are looking for.

We custom create programs to fit our client's goals, injuries, and capabilities.  What are some of the things that you are looking for in your customized program?
 
Injuries and Corrective Exercises

Whether it's a shoulder injury, back injuries, or just plain terrible flexibility, we can help.  Let us know about your current injuries so we can design the right program for you.
 
Do you have any injuries?

Please include the date of the injury and how severe it was.
 
Are you looking for our help with any of your injuries? How can we be of help?

 
List all sports you currently play and any sports you played in the past (and when)

 
Nutrition Questions

 
What is your Nutrition Preferences


 
List all supplements, herbs, over the counter meds, and prescription drugs you are taking.  Next to the item indicate why you are taking it.

 
Wrapping Up!

 
Who else are you considering?

Sand & Steel's business model is simple: provide the absolute best, no-comprises personal training possible.  As a business, we need to make this message clear, and knowing which other studios/gyms have caught your attention helps us to improve our training and our marketing.
 
Where did you hear about Sand & Steel?

Please be honest... this helps us identify marketing that works.  If you saw on Yelp, Facebook, Twitter, etc. let us know.  Especially someone referred you ... they get a free InBody screen with their referral.
 
I have read and agree to the terms of the Informed Consent Agreement

 
Comments, Questions, Requests?

If there is anything you want to us cover in the consult or any other information/questions you'd like to add.  Please do.  We will read everything you write.
You are all set!  Your first session is a free consultation, so you can come in your suit, jeans, or whatever you normally wear.
Contact Us With Questions