Online Coaching Intake

Online Coaching Intake Form

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Name*

First Last

Email*

Enter Email Confirm Email

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

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

This field is for validation purposes and should be left unchanged.