5W Coaching Application

Application For Coaching

Thank you for your interest in 5W Coaching! Please fill out the below questionnaire to the best of your abilities and we will be in contact to set up an initial consultation call to go over all the details and the next step.
Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
Online social media used for training log purposes, if any.
Instagram, TikTok, Facebook, YouTube, etc.
What type of Coaching Service are you interested in? Check all that apply.*

Powerlifting Coaching (Online)In Person Powerlifting CoachingIn Person Personal Training
Which coach or trainer are you inquiring about?
Are you preparing for a competition?*

YesNo
Numbers of year weight training and/or number of years powerlifting?*
How many days per week do you currently train? How many hours per session?*
Are you currently or previous injured? Are there any movements that are problematic or that you cannot perform?*
Describe your current goals in regards to powerlifting & your career (Short Term 1-3 Months and Long Term 1+ year)*
What is your training environment like? Are you in a commercial gym? A powerlifting gym? Home gym? What is your equipment selection like?*
Have you worked with a coach or trainer previously? If so - have you noticed anything in previous coaching relationships that worked well or didn't work well?*
Describe your ideal coach or trainer*
What is the most important thing that we can do for you? (Motivation, Accountability, Structure, Knowledge)*
When would you ideally like to start coaching or personal training?*

MonthDayYear
Date
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Application For Coaching