Online Coaching Intake

Name*
First Last
Email*
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How long have you been resistance training?*
How would you characterize most of your training over the past month?*
What have you been focusing on over the past month?*
What have the results been?*
What rep range have you been training in most often?*
How many days per week are you willing to train?*
How much time do you have for each workout?*
How much time do your workouts typically take?*
When was the last time you took at least 5 consecutive days off from weight training?*
What time of day do you plan to train?*
What makes you feel like you had a good workout.*
Are you currently doing any aerobic work?*
- Yes
- No
Please describe your aerobic routine
(intensity, duration, frequency per week)
How well do you feel you handle carbohydrates?*
What supplements are you currently taking?*
Please indicate time of day and amount of each item
Do you participate in other physical activities other than resistance training or aerobic work described above?*
If so, what and how often?
How would you rate your daily activity level outside of the gym or activities listed above?*
How would you characterize your sleep quality?*
How is your digestion? Do you ever experience any of the following?*
Check all that apply
- Great, I never have any issues
- Feeling bloated after meals
- Indigestion / gas
- Constipation / Irregularity
- Loose stools
- I poop less than 1x/day