Name
*
First Name
Last Name
Email
*
Preferred Method of Contact
*
Email
Instagram
Birthdate
*
MM
DD
YYYY
Height
*
General Bodyweight
Current Job/Career Path
*
If the previous rating needs explanation, describe the situation here.
Previous History of Sports?
*
Any history of injuries or orthopedic surgeries outside of lifting?
*
If none, put N/A
Current Training Frequency/Setup
*
Be specific if you can be
Have you worked with a coach previously?
*
Explain your experience/reasons.
*
If yes, what did you like/dislike about the experience? If no, what has prevented you from doing so.
Have you ever competed before?
*
What are your hopes within the sport of powerlifting?
*
Squat Style.
*
High Bar (Barbell on Traps)
Low Bar (Barbell on rear delts)
Mid Bar (Barbell between traps and rear delts)
Bench Style
*
Check off Grip Preference w/ Arch Style
Deadlift Stance
*
Conventional
Sumo
Wide Sumo (feet as wide as possible)
Froggy Sumo (Feet more narrow w/ inward shin angle)
Coaching Package
Training
Training and Nutrition
Do you drink or smoke often?
*
None
Drink
Smoke
Both
If yes, would you be willing to avoid them during important training/prep periods?
*
Yes
No
Unsure
Do you track your food right now?
*
Yes
No, but I know how
Don't Know How
If Yes, Current Macro Trends:
On average, how many hours a night do you sleep?
<4 hours
4-6 hours
6-8 hours
8+ hours
Are you working with another professional related to our field?
Describe what you're looking for out of our coaching relationship.
*
Any Other Questions you might have?
How did you hear about us?
If referred by a specific person/sponsored athlete, please provide their name/code here!
If you selected "other", provide source here!
Is there a specific coach you'd prefer to work with?
*
No Preference
Carl
Tyler
Aaron
Jake
