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Online Training Questionnaire
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Age
*
Phone Number
*
Email
*
Gender
*
Male
Female
Have you been cleared by a medical doctor to lift weights?
*
Yes
No
Are you currently taking any medications? If so, please list:
*
Do you have any past or existing medical conditions? If so, please list:
*
Any body limitations or previous injuries I should know about?
*
What are the goals we are aiming to accomplish? (Please be as specific as possible)
*
How many weeks are you wanting to train?
*
Choose
4 weeks
6 weeks
8 weeks
12 weeks
16 weeks
20 weeks
24 weeks
Days Available to Train
Selected Value:
1
Available Equipment
*
No equipment, just body weight
Strength training bands
Dumbbells
Barbell with plates
Complete gym
For athletes looking to spend extra time on their fast twitch muscle fibers and incorporate speed training, would you like to add field work specifically designed for you and you skill?
*
Yes
No
If you selected "Yes" on the previous question, please list the equipment you have available for field training.
*
Ex: Cleats, cones, resistance sled/parachute, plyo boxes, hurdles, etc.
Any other comments and/or questions?
*
Submit