Client Intake Form — Christen Harris Fit

Let’s work together

Please fill out the form below to the best of your abilities. This information is essential for me to have in order to determine the best way for us to begin working together.

Name

First Name

Last Name

Phone

(###)

###

####

Email

Age

Weight

Height

How often are you currently active or working out?

Never

Sometimes

Often

Health & Fitness Goals

Previous injuries and/or Medical Restrictions

Please list any and all that apply.