Online Coaching Form
REVIVAL Fitness / M.K. Angeletti
Name
Age
Height / weight
Can be Imperial or Metric units
Email
example@example.com
Preferred method of direct messaging
Discord
WhatsApp
iMessage (if applicable)
Instagram
Training experience (months or years)
Current split & days per week in the gym
Full body 3 day, PPL 6 day, bro split 5 day, upper lower 4 day, etc
Where do you train?
Home or apartment gym (limited setup)
Home or apartment gym (expanded setup)
Basic commercial gym
Serious 'influencer' or bodybuilder/powerlifter gym
If you train in a home or apartment gym with a limited setup, please list all of the equipment available.
Strength on main lifts (can be any rep range, not just 1RM)
Good ones include bench press, squat, deadlift variations, pull up / chin up, row, OHP, etc
What phase have you been doing most recently, and for how long?
Bulking, 1-3 months
Bulking, 4+ months
Cutting, 1-3 months
Cutting, 4+ months
Recomp, 1-3 months
Recomp, 4+ months
I keep changing / don't know
Do you have a short term date in the next few months you want to get in shape for? If so, what and when?
Wedding, vacation, photoshoot, etc
Aside from general muscle growth and fat loss, please list any specific long term goals. If none, put N/A.
Bodybuilding, powerlifting, modeling, etc
What is/are your biggest challenge(s) when it comes to body composition? (Multiple can apply)
I struggle to get lean, even cutting
I struggle to put on muscle, even bulking
I gain fat easily, even bulking slowly
I can't control my appetite in general
How closely do you keep track of what you eat?
Not at all / barely ever
I track protein only
I track goal macros + calories
I track goal macros + calories and eat the same foods consistently
Which describe(s) your current diet, in terms of prepping and choices? (Multiple can apply)
I eat whatever I want, usually
I eat whatever my mom / girlfriend / wife makes
I eat whatever is on the menu at school / work
I eat out often, rarely cook
I eat out rarely, cook mostly
I eat what I prep / plan for, but commonly splurge on weekends and other occasions (fast food, dessert, snacks, alcohol, etc)
I only eat what I explicitly plan for
Do you have time constraints per workout? If so, how long?
Are you willing to record yourself in the gym for form check videos?
Yes
No (if so, I cannot telepathically judge your form)
What is your preferred way to share form check videos?
Discord (if you have Nitro)
Google drive
Unlisted YouTube videos
WhatsApp / iMessage
Instagram
Do you have any injuries, complications, or lingering pains that affect your training? If so, explain the type and severity.
Current physique pictures (not required, but helpful)
Browse Files
Drag and drop files here
Choose a file
Best photos are in basic lighting, shirt off, unedited, and directly facing the camera. Flexing is ok. Front, back, and side provide a more complete picture. No nudity.
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