Senior Fitness Program Intake Form

Senior Fitness Program Intake Form: Safe, Effective Exercise for Older Adults

When working with senior clients, safety and personalization are paramount. This Senior Fitness Program Intake Form helps fitness professionals, wellness centers, and senior living communities gather essential medical history, mobility information, and physician approval before beginning any exercise program.

Why Senior Fitness Intake Forms Matter

Working with older adults requires a different approach than standard fitness programming. This template helps you:

• Assess fall risk through targeted questions about balance, previous falls, and mobility aids
• Document medical conditions including cardiovascular health, osteoporosis, arthritis, and chronic conditions
• Record current medications that may affect exercise capacity or require program modifications
• Obtain physician approval to ensure medical clearance before starting physical activity
• Identify mobility limitations so you can design appropriate, safe exercises
• Collect emergency contacts including family members and assisted living facility information

Perfect for Senior Fitness Professionals

This intake form is ideal for:

• Personal trainers specializing in senior fitness and active aging
• Wellness centers offering group fitness classes for older adults
• Assisted living and senior communities with on-site fitness programs
• Physical therapists transitioning clients to maintenance exercise programs
• Recreation directors planning safe, inclusive activities for seniors
• Silver sneakers and senior fitness instructors who need thorough health screening

How Paperform Enhances Senior Fitness Operations

With Paperform, your senior fitness intake process becomes seamless and professional:

• Conditional logic shows relevant questions based on medical conditions or fall risk factors
• Secure data collection protects sensitive health information with SOC 2 Type II compliance
• Mobile-friendly design makes it easy for family members to complete forms on behalf of participants
• Auto-calculations can score fall risk assessments and flag high-risk participants
• Integration with your systems via Stepper to automatically notify trainers, create client files, or send welcome packets

Whether you're running group classes at a community center or providing one-on-one training for seniors, this template ensures you have all the medical and mobility information needed to create safe, effective exercise programs that improve quality of life for older adults.