Tell me about yourself.Who you are and where do you want to go?Fill out this form with as much detail as possible so that I can help you achieve your goals. Name * First Name Last Name Email * Phone * (###) ### #### How would you prefer I contact you? Text Email Age * Height (feet/inches) * Weight * In general, what are your goals? Check all that apply lose body fat gain muscle improve cardiovascular fitness postpartum weight loss/recovery improve body compostition recover from injury become stronger improve mood/overall well being compete in CrossFit participate in bodybuilding/fitness competition Do you have a specific amount of weight you'd like to lose/gain? Do you have a speific strength or skill goal you'd like to focus on? For example back squat, olympic lift, pull-ups etc. Do you have "problem areas" or specific body parts you'd like to focus on? You will receive a total body training program, but if you would like a little extra work in a specific area, please let me know. Does your lifestyle/career require you to be seated for long periods of time (at least 4 hours per day)? Yes No How many years of exercise/training experience do you have? None Less than 6 months 6 months- 1 year 1-2 years 2-4 years over 4 years If you have been regularly exercising, which types of exercise do you normally do? CrossFit strength training bodybuilding endurance (triathlon, running, etc.) yoga/pilates Olympic weightlifting HIIT workouts (e.g. Orangetheory, circuit training, etc.) If you have been regularly exercising, approximately how many hours per week? fewer than 5 5-9 10-14 15-19 20+ Where will you be training? Select all that apply regular gym with machines and free weights CrossFit gym or similar (few or no machines) at home with weights and equipment at home, no weights or equipment other What kind of equipment do you have available? light dumbbells light kettlebells medium dumbbells medium kettlebells heavy dumbbells heavy kettlebells pull up bar squat rack resistance bands plyo box medicine ball (wallball) workout bench barbell bumper plates metal plates stationary bike rower treadmill/area to run jump rope GHD ALL of the above NONE of the above Do you have or have you ever had any injuries that prevent you from performing certain activities? If yes, please elaborate Do you have any dietary restrictions/preferences? vegan, gluten free, dairy free, allergies, list it all here Is there anything else you'd like to share? Thank you!
