Intake form — CrossFit Bairnsdale

01 Goal Setting

What's the main reason you joined CrossFit Bairnsdale? Be as specific as you can

90-day goal — what do you want to achieve in the next 3 months?

My goal is

I'll know I've achieved it when

Target date

12-month goal — the bigger picture

In 12 months I want to

Why does this matter to you?

What does success look like for you? Not a number on the scale — how do you want to feel?

02 Mindset & Beliefs

Have you tried to reach a similar goal before? What happened?

What's stopped you in the past?

Losing motivation Not enough time Injury or pain Cost Lacking confidence No accountability Not knowing where to start Life got in the way Something else

Is there a story you tell yourself about why this won't work for you? E.g. "I'm too old", "I've always been like this"

What's one thing about yourself you'd like to change — not physically, but mentally?

What kind of support do you find most helpful? Select all that apply

Encouragement Being held accountable Education & explanation A clear program to follow Community around me Regular check-ins

Is there anything else we should know to best support you?

03 Movement History & Injuries

What's your training background? Select all that apply

How long have you been active?

Current activity level

Do you have any current or past injuries we should know about?

Do you experience any pain or discomfort during exercise? Where and when?

Any movements or exercises you want to avoid or need to modify?

Are you currently seeing a physio, doctor, or specialist?

Physiotherapist GP / Doctor Chiropractor Not currently

Let's get you stronger

That's a wrap.

Welcome to the crew

CrossFit Bairnsdale

Open Mon-Sat