Client Information Form
Please fill out this form and answer the following questions.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Age
Height
Weight
Short Term Goal
Long Term Goal
What kind of training have you done in the past year with regards to general health and fitness, strength training, cardio/aerobic workouts and any running to speak of.
What specific track and field events or sports did you compete in during high school? Did you compete in college? If so, which sport(s) or events? What were your high school and/or college PRs?
What is the date, location and goal of your next competition?
How much time do you have to devote to training each day?
How many days per week would you like for your rest day(s). Do you have a preference for which days of the week for your rest day(s)? I recommend at least 1 day of complete rest per week.
Do you have any current or past injuries that I should be aware of? You can also cover these on the PAR-Q form if you like.
What do you feel are your strengths?
What do you feel are your weaknesses?
How would you rate yourself in regards to your mental strength in training and competition on a scale of 1-10 with 1 being low and 10 being high?
Submit
Should be Empty: