Sandbox Fitness
New Client Intake

Let's Build Your Program

Complete all sections so we can design a training experience that fits your body, goals, and life. Everything you share stays private.

01 Contact & Demographics
📍 For online clients — in the rare event of a medical emergency during a session, I need to be able to send help to you. Your address is kept private and used only for this purpose.
02 PAR-Q+ Pre-Exercise Screening
The PAR-Q+ is a standardized health screening tool required before beginning a new exercise program. Answer honestly — your safety depends on it. If you answer Yes to any question, you may need medical clearance before starting.
Question 1

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

Medical clearance recommended. Please obtain written clearance from your physician before beginning any exercise program with Sandbox Fitness.
Question 2

Do you feel pain in your chest when you do physical activity?

Medical clearance recommended. Chest pain during activity should be evaluated by a physician before continuing.
Question 3

In the past month, have you had chest pain when you were not doing physical activity?

Medical clearance recommended. Resting chest pain requires physician evaluation prior to exercise.
Question 4

Do you lose your balance because of dizziness or do you ever lose consciousness?

Medical clearance recommended. Dizziness or fainting during activity is a significant safety concern.
Question 5

Do you have a bone or joint problem (for example, back, knee, or hip) that could be made worse by a change in your physical activity?

Note recorded. Please describe the affected area in the Health History section. Programming will be adapted accordingly.
Question 6

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?

Note recorded. Please list these medications in the Health History section so your program can be tailored appropriately.
Question 7

Do you know of any other reason why you should not participate in physical activity?

Please describe below — and consult your physician if you are unsure whether it's safe to begin training.
By completing this section, I confirm that I have read and understood the PAR-Q+ questions and have answered them honestly. I understand that this screening is not a substitute for a full medical evaluation.
03 Health History
This information is used solely to keep you safe and program appropriately. It is kept strictly confidential.
04 Goals

Note: If you have existing injuries or physical limitations, those will be noted in your health history and accounted for in your programming. Sandbox Fitness does not diagnose or treat medical conditions.

LowVery High
05 Fitness History & Daily Activity

Daily Physical Activity

06 Lifestyle

Sleep

Stress

MinimalVery High

Nutrition

07 Equipment & Availability
Something went wrong submitting your form. Please try again, or email justin@sandboxfit.com directly.

You're All Set

Thanks for completing your Sandbox Fitness intake. I'll review everything before our first session and reach out if I have any follow-up questions.

sandboxfit.com