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Intake
Nick Specter-Vlacic
2021-05-13T15:16:04-05:00
1-1 ONLINE COACHING APPLICATION
Name
Email Address
What do your friends call you?
What's your address?
When is your birthday?
How much do you weigh (pounds)?
Add your Facebook and/or Instagram
Training History, Goal Setting and Other Questions
1. Right now, how many days per week can you 110% commit to for training? More is not necessarily better, consistency and sustainability is best.
3-Days Per Week
4-Days Per Week
5-Days Per Week
6-Days Per Week
7-Days Per Week
2. How much time do you have to train on these days?
3. What specific days of the week are you available to train?
4. What type of gym do you primarily train in (commercial, box, studio, home)? What gym would you prefer to train in? (If you'd like, send a list of available equipment)
5. Are you currently barbell back squatting without pain or serious limitations? If so, what squat variations have you had the best success with recently?
6. Are you currently barbell deadlifting without pain or serious limitations? If so, what deadlift variations have you had the best success with recently?
7. Are you currently barbell bench pressing without pain or serious limitations? If so, what pressing variations have you had the best success with recently?
8. Are you currently running/sprinting without pain or serious limitations? If so, what conditioning variations have you had the best success with recently?
9. What has your training looked like in the past 2-3 months? Are you currently on a specific program? What does your training schedule look like? The more specific the better.
10. What have been your biggest challenges and obstacles?
11. What was the driving factor that lead you to hire me as your coach?
12. What is your primary goal with training?
13. If you could do one exercise for the rest of you life, what would it be?
14. If there is one exercise you could banish forever, what would it be?
15. What do you like to do for fun?
16. What are your roles, jobs, and responsibilities over the course of the day?
17. Do you have any current movement limitations that prevent you from performing the foundational movements (squat, hinge, lunge, upper body push, upper body pull, carry)?
18. Are you currently dealing with any injuries?
19. What does your injury history look like?
20. What does your surgical history look like?
21. What does your medical history look like?
22. Anything else that you would like me to know to better get to know you and coach you as best as possible?
Time is Up!
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