Deluxe Monthly Coaching Sign Up
Tell me about yourself. Please be detailed.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What are your training goals? What do you hope to get out of our work together?
Height in Inches:
Current Bodyweight in Pounds:
Goal Bodyweight in Pounds:
Current Age:
How many days a week are you available to train?
1 day per week
2 days per week
3 days per week
4 or more days per week
How much time can you devote to each training session?
Less than 30 minutes
30-60 minutes
60-90 minutes
90-120 minutes
More than 120 minutes
Any nagging or serious injuries I should know about?
What training equipment do you have available?
What's your current experience level in barbell based strength training? Include links to YouTube videos of your best lifts if possible.
Describe your current diet, including vitamins and supplements. How would you like it to change moving forward?
List any exercises which you find cause you to progress.
List any exercises which you find cause you to regress or caused pain/injury.
Would you like to to schedule a phone call to discuss moving forward with online coaching?
Yes
No
My Products
prev
next
( X )
Maxwell Strength Deluxe Monthly Coaching
One month's worth of my deluxe online coaching package.
$
215.00
CAD
Submit
Should be Empty: