Name
*
First Name
Last Name
Email
*
Birthday
MM
DD
YYYY
Current Weight
How many years have you been lifting?
Less than 1 year
1 year
2 years
3 years
More than 3 years
Do you have access to a gym?
Yes
No
Do you have access to dumbbells and/or barbells?
Neither
Just Dumbbells
Just Barbells
Both
If you are using a home gym, please list all usable equipment.
Do you have any specific training goals? If yes, please list them here!
Do you know how to track macros?
Yes
No
Have you ever dieted for an extended period of time? If so, please describe your experience.
Are you doing any cardio at the moment? If yes, how many days per week?
Not doing cardio
1-2 times per week
3-4 times per week
5+ times per week
What is your preferred method of cardio?
Are you doing any strength training at the moment? If yes, how many days a week?
Not doing Strength
1-2 times per week
3-4 times per week
5+ times per week
Are you on a specific strength training program? If yes, please describe your program.
Have you had or do you have any current injuries? If yes, please list them here.
If you know them, please list your 1 Rep Max on these compound movements: Squat, Bench Press, Deadlift, Overhead Press.
Are you familiar with the RPE (Rate of Perceived Exertion) Scale?
Yes
No
Have any questions, concerns, or comments? Let us know here!