Menopause Fitness & Wellness Intake Form
About this free form template

Empower Your Menopause Fitness Journey with a Purpose-Built Intake Form

Menopause is a transformative phase that requires specialized fitness and wellness support. Whether you're a personal trainer, wellness coach, or fitness studio owner working with menopausal clients, having a comprehensive intake process is essential for creating safe, effective, and empowering training programs.

This Menopause Fitness & Wellness Intake Form template helps you gather critical health information, understand your client's unique symptoms, and design personalized programs that address the specific challenges of menopause—from hot flashes and sleep disruption to bone density concerns and hormonal changes.

Why Fitness Professionals Need Menopause-Specific Intake Forms

The menopause transition affects every body differently, and what works for one client may not work for another. A detailed intake form allows you to:

  • Understand symptom patterns like hot flashes, night sweats, joint pain, and mood changes that affect training capacity
  • Assess bone health concerns and osteoporosis risk to design appropriate strength training protocols
  • Track hormone replacement therapy (HRT) status and how it impacts energy, recovery, and training response
  • Identify sleep quality issues that affect recovery and workout performance
  • Screen for contraindications and medical conditions requiring modified programming
  • Establish baseline fitness levels and realistic, achievable goals

With this intake form, you're not just collecting information—you're demonstrating expertise in menopause fitness and building trust with clients who need specialized support.

What Makes This Template Different

This Paperform template goes beyond basic health history questionnaires. It's specifically designed for the menopause fitness market with:

  • Symptom tracking sections covering the full spectrum of menopausal symptoms
  • Bone density and osteoporosis screening questions
  • HRT and supplement documentation to understand pharmaceutical support
  • Hot flash management and trigger identification
  • Strength training experience and goals focused on bone health
  • Lifestyle factors including stress, sleep, and nutrition
  • Clear medical clearance protocols for working with healthcare providers

Perfect for Multiple Fitness Professionals

This template works beautifully for:

  • Personal trainers specializing in midlife women's fitness
  • Wellness coaches supporting holistic menopause health
  • Group fitness instructors running menopause-specific classes
  • Physiotherapists working with pelvic floor and bone health
  • Yoga and Pilates instructors adapting practices for menopausal bodies
  • Nutrition coaches addressing menopause-related metabolic changes
  • Health clubs and studios offering specialized menopause programs

Seamless Integration with Your Workflow

Paperform makes it easy to embed this intake form on your website, share it via email, or send it as part of your onboarding sequence. Once a client submits their information, you can:

  • Automatically send personalized welcome emails with next steps using Paperform's conditional email features
  • Connect to your CRM like HubSpot, Pipedrive, or your practice management software to keep client records organized
  • Sync responses to Google Sheets or Airtable for easy analysis and program planning
  • Trigger workflows in Stepper to automate onboarding tasks, send program materials, or schedule follow-up assessments
  • Route to team members if you have multiple trainers or specialists handling different aspects of care

Build Trust Through Professional Client Experience

First impressions matter, especially when working with clients navigating a vulnerable and often frustrating health transition. This form template is designed to look professional and feel supportive—showing clients you truly understand their needs.

Customize the theme to match your brand colors and fonts, add your logo, and include empowering imagery that resonates with midlife women. The clean, organized layout makes the intake process feel less clinical and more like a partnership.

Collect Payments and Book Sessions in One Place

Paperform's built-in payment integrations mean you can collect intake information AND process initial consultation fees, program deposits, or package payments in a single form. Connect Stripe, PayPal, or Square to accept payments securely.

You can also add scheduling fields to let new clients book their first assessment session directly after completing their intake—eliminating back-and-forth emails and creating a smooth onboarding experience.

Data Security Your Clients Can Trust

Health information is sensitive, and your clients need to know their data is protected. Paperform is SOC 2 Type II compliant and offers robust security features including SSL encryption, data residency controls, and secure file uploads for medical clearance forms or lab results.

While Paperform is not HIPAA compliant, it provides enterprise-grade security suitable for fitness and wellness professionals collecting health history information.

Customize for Your Unique Approach

Every fitness professional has their own methodology and areas of focus. This template is fully customizable, so you can:

  • Add questions about specific training modalities you offer (HIIT, resistance training, low-impact cardio)
  • Include fitness assessment benchmarks you track
  • Add PAR-Q or other medical screening questions required by your insurance
  • Incorporate nutrition assessment questions if you offer integrated wellness programs
  • Add custom fields for supplement protocols, menopause stage, or other specialized concerns

Get Started in Minutes

With Paperform's intuitive editor, you can have this menopause fitness intake form up and running in minutes. Simply customize the questions to match your practice, adjust the theme to reflect your brand, and share the link with new clients.

Whether you're just launching a menopause fitness specialization or scaling an established practice, this template gives you the professional foundation to deliver exceptional, personalized care.

Ready to streamline your intake process and show up as the menopause fitness expert your clients are looking for? Start with this template and customize it to match your unique approach.

About Paperform

Paperform is trusted by fitness professionals, wellness coaches, and health practitioners around the world to create beautiful, functional forms that enhance the client experience. With powerful features like conditional logic, payment processing, scheduling integrations, and workflow automation through Stepper, Paperform helps you run your business more efficiently while delivering exceptional care.

Explore more templates designed for fitness and wellness professionals at paperform.com, or connect your intake forms to automated workflows at stepper.io.

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raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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