Fitness Trainer Intolerance Assessment Form
Use this form to assess exercise, environmental, and nutrition intolerances that may affect training and help tailor a safer, more effective fitness plan.
Client Profile
Client Name
*
First Name
Last Name
Age Range
*
Under 18
18-24
25-34
35-44
45-54
55+
Primary Fitness Goal
*
Please Select
Weight Loss
Muscle Gain
Endurance
Flexibility
General Health
Sport Performance
Other
Current Training Level
*
Beginner
Intermediate
Advanced
Returning After Break
Other
Intolerance Assessment
Exercise-related triggers
High-intensity intervals
Heavy resistance training
Jumping/impact movements
Long-duration endurance sessions
Core/abdominal work
Mobility/stretching
None
Environmental triggers
Heat
Cold
Humidity
Poor air quality
Strong odors
Bright lights
Noise
None
Nutrition-related intolerances
Dairy
Gluten
High-fiber foods
Spicy foods
Caffeine
Artificial sweeteners
High-fat meals
Pre-workout supplements
None
Rate severity of common trigger areas
Rows
Mild
Moderate
Severe
Exercise-related
1
2
3
Environmental
4
5
6
Nutrition-related
7
8
9
Training Impact and Notes
How do these intolerances affect your workouts?
*
Reduced energy
Stomach discomfort
Breathing issues
Skin reactions
Difficulty recovering
Other
Preferred workout modifications or additional notes
Submit
Should be Empty: