The Strength Architect: Intake Form
Please fill out the form below prior to your onboarding call!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birthdate
*
/
Month
/
Day
Year
Date Picker Icon
Gender
*
Female
Male
Other
What style of training are you looking for?
*
Powerlifting
Bodybuilding
Strongman
General Fitness/Strength
Other
Are you looking to compete in your chosen sport?
*
Yes
No
Competition Questions
When do you plan on competing?
*
Have you ever competed before?
*
Yes
No
What are your competition PRs? (If applicable)
What are your goals for this competition?
*
What is your current bodyweight and competition weight class?
*
Back
Next
Page 2/3
A Little About You
Do you consider yourself competent in the primary lifts (squat/bench/deadlift/etc)?
*
Yes
No
Somewhat
What are your PRs in a few of your favorite lifts in the 1-5 rep range?
*
How long have you been lifting seriously?
*
Just getting started now
Under 1 year but some experience
1-3 years of experience
4-6 years of experience
7+ years of experience
Do you have any current or past injuries that affect your lifting or ability to exercise?
*
Your Availability
How many days per week are you available to train?
*
Please Select
1
2
3
4
5
6
7
How much time do you have per day to train?
*
Please Select
Under 45 minutes
45-60 minutes
60-90 minutes
Over 90 minutes
What kind of equipment do you have available to you?
*
Normal commercial gym equipment
Specialty gym with bands, chains, blocks, specialty bars, etc.
Fully equipped home gym
Basic home gym (rack, bench, bar, and plates)
Other
Back
Next
Page 3/3
Your History
Have you been formally coached before in exercise?
*
Yes
No
Do you have any current or history of medical conditions such as diabetes, hypertension, heart disease, stroke, cancer, heart attacks, etc. that may affect your exercise or diet?
*
Yes
No
If yes to the above question, please explain.
*
Are these conditions being properly managed by the appropriate medical professional?
*
Yes
No
Finishing Up!
Just a few more questions. Thanks for making it this far!
How did you hear about FortitudeRx?
*
Any additional comments or questions?
The Next Steps
Hit submit below and we will be in contact within 24 hours to begin your coaching process via your onboarding call!
Submit
Should be Empty: