One-on-one Powerlifting Coaching
Name
First Name
Last Name
Age
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Tell me about yourself outside the weightroom
How long have you been weight training in a gym?
Have you participated in sports before? If yes, what sport and what level of competition?
How long have you been strength training/powerlifting?
Have you previously worked with a powerlifting coach before? If so, how long?
What are you looking to gain out of a powerlifting coach?
Do you have any previous/existing injuries and or medical conditions? If so please provide details. Do you need medical/ physician clearance to participate in a powerlifting program?
Do you have an understanding on "Rate of Perceived Exertion" or "RPE"?
Yes
No
Do you have an understanding on "Reps in Reserve" or "RIR"?
Yes
No
Current Squat 1RM (KG)
Current Bench 1RM (KG)
Current Deadlift 1RM (KG)
What days of the week are you able to commit to train?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Tell me about your current training structure. Provide as much detail as possible.
When’s the best time (PST) to have a phone consultation with you?
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