Client Application

General Life Information
What is your training / athletic history?*
(Sports / training you have done previously)
Are you a student? *
What is your weekly mental stress level with school / work? *
What is your weekly physical stress level with school / work? *
How many hours do you sleep per night? *
Have you ever tracked nutrition before? *

Powerlifting History
How long have you been powerlifting? *
Have you competed in powerlifting before? If so, which federation? *
What weight class did you compete in most recently? *
What is the highest level you have competed at?*
What is the highest level you aspire to compete at?*
Current Squat Max: *
What aspects of squat are you looking to improve?*
(Ex. Center of mass control)
Current Bench Max: *
What aspects of bench are you looking to improve?*
(Ex. Improving ability to competition pause)
Current Deadlift Max: *
What aspects of deadlift are you looking to improve?*
(Ex. Wedging or initiating the lift)
What does your current training split look like? *
(Ex. 2 days of squat, 1 day 3x4, 1 day 1x1 and 5x5; same format for bench & deadlift)
Have you had any injuries in the past? *
(Ex. Lower back injury, pec minor strain, etc)
What are your current short term goals in powerlifting? *
What are your current long term goals in powerlifting? *

Coaching History
Have you had a coach before? *
If you have had a coach before, what are some elements that you liked/disliked from their system? (If you have not had a coach, please input N/A)*
What things are you looking for from the coach-client relationship? *
What level of communication are you expecting from a coach? *
Describe your ideal coach: *

General Information