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Please enable JavaScript in your browser to complete this form.
Full Name
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First
Last
Email Address
*
Phone Number
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Age
*
Choose answer
16-20 Years
20-30 Years
30-40 Years
40+ Years
Current body weight
*
Goal body weight
*
On average how many hours of sleep do you get?
*
What is the primary reason you decided to hire a personal coach?
*
What challenges are currently holding you back from making more progress?
*
Why do you workout?
*
Olympic weightlifting
Increase strength
Competitive athlete
Body composition
Build lean muscle
General health
Look good naked
Mental health
Select all that apply.
What style of training are you interested in?
*
Choose answer
Olympic weightlifting
Powerlifting
Bodybuilding
Sport performance
Health and wellness
Other
How long have you been lifting weights?
*
Choose answer
0 Years
0-1 Years
2-3 Years
4-5 Years
6+ Years
What type(s) of training have you done in the past?
*
What type(s) of training have worked well for you in the past?
*
What type(s) of training have not worked well for you in the past.
*
In detail, please describe your short-term goals.
*
3 Month Goals.
In detail, please describe your long-term goals.
*
1 Year Goals.
Do you have established one rep maxes?
*
Choose answer
Yes
No
Provide a list of exercises and max weights.
*
Are you currently following a nutrition program?
*
Choose answer
Yes
No
Sometimes
In detail, please describe your current nutrition program.
*
Are you currently working out consistently?
*
Choose answer
Yes
No
In detail, please describe your current weekly workout routine.
*
What days are you available to workout?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are there any days throughout the week that you cannot workout?
*
Do you workout at the HITW gym?
*
Choose answer
Always
Never
Sometimes
Provide a comprehensive list of available equipment.
*
Do you have any pre-existing injuries or limitations?
*
Choose answer
Yes
No
In detail, please describe your injuries and limitations.
*
In detail, please describe what success looks like at the end of this individual coaching program.
*
Would you like to provide any additional information?
*
SUBMIT
Please enable JavaScript in your browser to complete this form.
Full Name
*
First
Last
Email Address
*
Phone Number
*
Age
*
Choose answer
16-20 Years
20-30 Years
30-40 Years
40+ Years
Current body weight
*
Goal body weight
*
On average how many hours of sleep do you get?
*
What is the primary reason you decided to hire a personal coach?
*
What challenges are currently holding you back from making more progress?
*
Why do you workout?
*
Olympic weightlifting
Increase strength
Competitive athlete
Body composition
Build lean muscle
General health
Look good naked
Mental health
Select all that apply.
What style of training are you interested in?
*
Choose answer
Olympic weightlifting
Powerlifting
Bodybuilding
Sport performance
Health and wellness
Other
How long have you been lifting weights?
*
Choose answer
0 Years
0-1 Years
2-3 Years
4-5 Years
6+ Years
What type(s) of training have you done in the past?
*
What type(s) of training have worked well for you in the past?
*
What type(s) of training have not worked well for you in the past.
*
In detail, please describe your short-term goals.
*
3 Month Goals.
In detail, please describe your long-term goals.
*
1 Year Goals.
Do you have established one rep maxes?
*
Choose answer
Yes
No
Provide a list of exercises and max weights.
*
Are you currently following a nutrition program?
*
Choose answer
Yes
No
Sometimes
In detail, please describe your current nutrition program.
*
Are you currently working out consistently?
*
Choose answer
Yes
No
In detail, please describe your current weekly workout routine.
*
What days are you available to workout?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are there any days throughout the week that you cannot workout?
*
Do you workout at the HITW gym?
*
Choose answer
Always
Never
Sometimes
Provide a comprehensive list of available equipment.
*
Do you have any pre-existing injuries or limitations?
*
Choose answer
Yes
No
In detail, please describe your injuries and limitations.
*
In detail, please describe what success looks like at the end of this individual coaching program.
*
Would you like to provide any additional information?
*
SUBMIT
