International Sports Sciences Association
Name of Business Intake Questionnaire
PLEASE DISCUSS THE FOLLOWING WITH ALL NEW CLIENTS AT YOUR FIRST MEETING
• Why did you respond to our advertisement? i) If you could improve or change all these things,
a) What were you curious about? what would it mean to you?
b) What do you think we do? j) How would it impact your feelings of self worth?
c) Why would you be interested in that? k) Do you think you deserve to be fulfilled in this
area of your life?
d) Ideally, what would you like us to do for you?
e) Why is that important?
• What is your current fitness program?
a) Exercises:
f) How would it change your life?
b) Nutrition and supplementation:
• Let me start out by giving you our definition
c) What do you know about how to improve your
of fitness. conditioning?
a) Experiencing abundant physical health.
• How well is your current fitness program
b) Absence of pain, discomfort, illness, and disease.
working for you?
c) Experiencing vitality and high energy, sufficient to
a) Why isn’t it working?
enable one to do what one wants.
b) Are you willing to make some changes?
d) Looking attractive and fit, proud of one’s appear-
ance. c) Do you care enough about your own well-being
to make it a priority?
e) Capable of living a long, healthy life.
f) Able to participate in sports and active recreational • Aside from financial cost, is there anything
activities. that would stop you from embarking on a
g) Having a healthy emotional and mental outlook fitness program?
fostered by the foundation of feeling good. (Overcome all non-cost objections before proceeding.)
Do you agree with this definition? • If you had everything you wanted in life
Is there anything you would add or delete? except for good health, would that be
satisfactory?
• What is the current state of your fitness?
a) How much do you pay for medical insurance?
a) On a scale of 0-10 with 0 being barely alive and 10
b) How much do you pay for doctor bills?
being totally fit, how do you rate your fitness?
c) Given the expensive cost of health care after one
b) What illnesses or medical conditions do you have?
gets sick, doesn’t it make sense to you to spend
c) How is your energy level? a little money to prevent health problems?
d) How would you rate the quality of your nutritional d) How much is your health worth?
intake?
• If there were an affordable program that
e) Do you feel refreshed and energized after sleep?
could give you everything you want in the
f) Is your sex life fulfilling? (Don’t ask this of clients of the way of health and fitness, would you do it?
opposite sex as it may be misconstrued.)
When?_____________ (If they are not willing to act now,
g) What areas of your personal fitness would you like
you should terminate interview at this point and ask them to come
to improve?
back when they are ready to make a change.)
h) What specific thing would you like to change?
What else?
What else?
continued on back
Intake_0805
International Sports Sciences Association
Name of Business Intake Questionnaire
PLEASE DISCUSS THE FOLLOWING WITH ALL NEW CLIENTS AT YOUR FIRST MEETING
Okay (Name), let me tell you a little about my expe- At the end of the introductory session, we’ll make a
rience and my personal philosophy of fitness. In work- decision as to whether you should become my regu-
ing with clients, I like to focus on... (expand). I have lar client or not. If the decision is “no” we’ll just part
lots of experience in... (expand on your areas of as friends. If it’s “yes,” I’ll ask you to commit to a series
expertise). Most of my clients are able to achieve their of sessions and we’ll carefully define your goals and
goals because... (expand on your motivational skills). make sure that you reach them. Does that sound fair
Another reason for my high success rate is that I con- to you? (Yes.)
fine my practice to only those individuals who are Good. What time of the day works best for you for the
really serious about improving their fitness. Are you? sample session… morning, afternoon, or evening?
(Answer.) (Answer) Okay, I have two time slots open this week.
Okay (Name), the next step is to set up an introduc- (Tuesday at one o’clock or Wednesday at two o’clock)
tory session so that we can get a feel for how effec- Which is better for you? (Choice.) Great, then I’ll see
tively we can work together. The session will last for you at (time). (While shaking hands enthusiastically...)
forty-five minutes and the cost is just $. It’s been a pleasure meeting you.
Notes:
Please note: possession
of this form does not
indicate certification
status with the ISSA.
To confirm active cer-
tification status, please
call 1.800.892.4772
(1.805.745.8111 inter-
national). Information
gathered from this
form is not shared
with ISSA. ISSA is not
responsible or liable
for the use or incorpo-
ration of the informa-
tion contained in or
collected from this
form. Always consult
your doctor concern-
ing your health, diet,
and physical activity.
Intake_0805
