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Personal Fitness Assessment & Goal-Setting Survey

A baseline assessment for gyms, trainers, and wellness programs to capture current activity levels, self-rated fitness across key domains, and top goals — plus a best-worst trade-off to prioritize what matters most. The AI follow-up interview digs into the real story behind a client's top goal and biggest barrier, so trainers get context spreadsheets never show.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

13 questions · ~7 min
Q01
Message

Welcome! Before we build your fitness plan, we'd like to understand your current activity, goals, and what's gotten in the way in the past. This takes about 5 minutes and helps us personalize your program.

Q02
Multiple ChoiceRequired

In the last 30 days, how many days per week did you typically exercise for at least 7 minutes?

  • 0 days
  • 1-2 days
  • 3-4 days
  • 5-6 days
  • Every day
Q03
Multiple ChoiceRequired

Which types of exercise have you done in the last 30 days?

  • Cardio (running, cycling, swimming, etc.)
  • Strength/resistance training
  • Yoga, Pilates, or mobility work
  • Team or individual sports
  • Walking as primary activity
  • None of the above
Q04
Slider MatrixRequired

How would you rate your current fitness level in each area?

4 rows, one slider each
  • Cardiovascular endurance
  • Muscular strength
  • Flexibility and mobility
  • Balance and coordination
Slider 0–10Min:Very lowMax:Very high
Q05
Best–Worst Trade-off (MaxDiff)Required

Which of these fitness goals matter most to you right now, and which matter least?

  • Losing weight or body fat
  • Building muscle or strength
  • Improving cardiovascular endurance
  • Increasing flexibility or mobility
  • Reducing stress and improving mental health
  • Improving sleep quality
  • Improving performance in a specific sport
  • General long-term health
Pick best & worst per setBest:Matters mostWorst:Matters least
Q06
Opinion ScaleRequired

How confident are you that you'll make real progress on your top fitness goal in the next 3 months?

Scale: 1 – 10
Min:Not confident at allMax:Extremely confident
Q07
MatrixRequired

How much do each of the following typically get in the way of you exercising consistently?

6 rows × 5 columns
  • Lack of time
  • Lack of motivation
  • Unclear what to do or how to progress
  • Pain or injury
  • Cost of gym/equipment/coaching
  • +1 more
Columns: Never an issue · Rarely an issue · Sometimes an issue · Often an issue · Always an issue
Q08
Rating ScaleRequired

Overall, how satisfied are you with your current exercise routine?

Range: 1 – 5
Min:Very dissatisfiedMax:Very satisfied
Q09
AI Interview

Probe the respondent's top-ranked fitness goal from the trade-off question: what does success actually look like to them, and why does it matter more than the other goals right now? Then dig into their highest-rated barrier from the obstacles matrix - get a concrete recent example of when it stopped a workout, and what would have to change for it not to. If they rated confidence low, ask what specifically is making the goal feel out of reach.

Q10
Short Text

Do you have any injuries, medical conditions, or physical limitations we should know about when designing your program?

Q11
Multiple Choice

What is your age range?

  • Under 18
  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65+
  • Prefer not to say
Q12
Multiple Choice

What is your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q13
Message

Thank you for sharing all this! We'll use your answers to build a program tailored to your goals, current fitness level, and the real obstacles that have gotten in your way before.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • Combines quantitative baseline data (weekly exercise frequency, exercise types, self-rated fitness across domains via a slider matrix) with a best-worst trade-off (best-worst trade-off) to force-rank fitness goals instead of relying on flat rating lists
  • Includes an AI follow-up interview that specifically probes the respondent's top-ranked goal and biggest barrier, surfacing the 'why' behind the numbers that a static form can't capture
  • Captures readiness signals other templates skip — confidence in achieving the top goal, a barrier matrix, and current routine satisfaction — giving trainers a fuller psychological picture, not just activity counts
  • Closes with practical intake essentials (injuries/medical limitations, age range, gender) so the resulting report is immediately usable for program design

Jotform

Fitness Assessment Form Template

A ready-to-field static form builder template covering standard fitness intake fields like measurements, activity history, and goals. It's built for quick deployment and customization within Jotform's drag-and-drop ecosystem rather than for deeper qualitative exploration. Good for gyms wanting a simple, no-frills intake form.

What it does well

  • Fast to deploy and customize via Jotform's drag-and-drop form builder
  • Likely integrates with Jotform's broader ecosystem (e-signatures, payments, conditional logic)
  • Familiar, widely-used form format for gym/trainer intake

Where it falls short

  • Static question set with no adaptive AI follow-up to explore the story behind a client's stated goal or barrier
  • No automated per-response quality scoring or AI-generated narrative report
  • No voice AI interview option for clients who prefer speaking over typing

Typeform

Fitness Assessment Form Template

A conversational one-question-at-a-time template that likely improves completion rates and feels more personal than a traditional form. It still uses fixed question logic, so any 'personalization' is limited to branching rules set in advance, not genuine open-ended probing. Suited to gyms wanting a polished, mobile-friendly intake experience.

What it does well

  • Conversational, one-question-at-a-time UI that tends to boost completion and feels friendlier
  • Mobile-optimized design well suited to client self-intake
  • Supports basic logic branching for a semi-personalized flow

Where it falls short

  • No adaptive AI interview — branching logic is pre-set, not a real-time follow-up conversation based on the respondent's actual answer
  • No automated quality scoring of responses or auto-generated summary report
  • No transparent, published methodology for how any personalization logic is applied

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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