Health Coaching Intake Form Template

A health coaching intake form is a pre-session questionnaire that a health coach sends to a new client before coaching begins. It usually collects information about a client’s goals, lifestyle, current habits, and the areas they want to improve. It gives the coach useful context for a productive start.

This questionnaire template gives clients a simple way to share their lifestyle, what they want to change, and what may get in the way. It combines quick multiple-choice and rating questions on energy, sleep, stress, physical activity, and eating habits with a few optional open fields for additional context in the client’s own words.

Add the template to your AidaForm account and adjust the questions, wording, and design in the drag-and-drop Builder. Publish the form online and send it by link or embed it on your website. Responses are stored securely in your account, where you can review and download them. If needed, you can also connect the form with other tools you use.