Let’s work together Name * First Name Last Name Email * Phone (###) ### #### Preferred Start Date * MM DD YYYY Age * MM DD YYYY Instagram @ Height (CM) * Weight Class/Average weight * Have you worked with a coach before? If no, what has your training style been like?. If yes, who was your previous coach and what was your reason for leaving? * Have you competed before? If yes, What is the highest level of competition you have competed. * Never Competed in powerlifting Novice Local sanctioned meet State/national Competiton International What is the highest level you would like to compete at? * Novice Local sanctioned meet State/national Competiton International What are your short-term (1-4 months) and long-term goals? * What characteristics and traits are you looking for in a coach? What are your aspirations in powerlifting and how can I help you achieve them? * How long have you been training for? general training and powerlifting-specific training * What aspect do you enjoy about powerlifting or what has drawn you to powerlifting? * What are your current maxes for Squat, Bench and Deadlift, either in training and/or in competition? * What is your current training look like? * What days of the week are you able to train? * Monday Tuesday Wednsday Thursday Friday Saturday Sunday Where are you currently training? Does it have powerlifting specific equipment? * Are you currently working? If so what occupation are you in and is it active or sedentary? * Athlete Self-Reflection * I handle failure well as an athlete. Strongly Disagree Disagree Neutral Agree Strongly Agree I handle criticism well as an athlete. Strongly Disagree Disagree Neutral Agree Strongly Agree I am currently experiencing high levels of stress in my work/life. Strongly Disagree Disagree Neutral Agree Strongly Agree I consistently get high-quality sleep each night. Strongly Disagree Disagree Neutral Agree Strongly Agree Do you have any medical conditions? * Do you currently have any injuries or niggles you are going through? * What are your hobbies and interests outside of the gym? * Thank you!You will be contacted shortly.
