OWNING IT! TRAINING APPLICATION
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Email
*
example@exampEmaille.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Birthday
-
Month
-
Day
Year
Date
PERSONALITY
What are 3 words that describe your personality best?
What are your favorite things to do in your free time?
What kind of music gets you pumped or brings you peace? If you had to describe your approach to life in a song title, what would it be?
How do you handle someone calling you out—honestly and directly?
When it comes to accountability, what works best for you: tough love, gentle nudges, or a mix?
How do you typically respond when something in your life doesn't go as planned?
What motivates you to show up even when it’s hard?
What does "taking responsibility" for your health look like to you?
GOALS
What do you hope to accomplish in our time together?
Increase muscle mass / get stronger
Lose body fat
Move with less pain
Improve recovery / stress management
Improve nourishment
Improve consistency / accountability
Learn to lift weights safely and effectively
Learn good form
Learn the skills to support my goals
Other
If you chose "other", explain:
Tell me more about your personal goals. This space can include your physique, lifestyle goals, activity goals, mindset, how you show up in life, and or performance goals.
How much time do you realistically think it would take you to achieve your goals?
What makes you want to see these goals become a reality? In other words, WHY are you doing this? Go DEEP. This WHY has to be big enough to get you to follow through even when times / conditions are tough.
What obstacles are you facing that are preventing you from achieving your goals?
I don't know how to lift weights
I am afraid to get bulky
I don't have the time
Judgement at the gym
bad at meal prep / shopping
lack of honestly
stubborn
partying on the weekend
eating habits on weekends
I know what to do, I just don't do it
emotional eating / binge eating
overtraining
eating too much
eating too little
yo-yo dietling
lacking support from family / friends / co-workers
all or nothing mindset
chronic health conditions
self-sabotage / fear of success
nothing, let's fucking go!!!
Other
If you chose "other", and or "chronic health conditions", please explain:
EXERCISE HISTORY
Have you ever:
done strength training
used dumbbells/ kettlebells
used a barbell
used machines at the gym
performed deadlifts with more than 50#?
squatted more than 50#?
done circuit training
none of the above
Have you ever participated in a group exercise program before (AKA group gyms like OrangeTheory, BodyPump, Barre, etc.)? What were you hoping to accomplish in these classes, and did you get where you wanted to be?
In regards to exercise: in the past 5 years, what programs have gotten you the results you wanted, if anything?
Are you currently exercising regularly? How many days per week? Please describe your exercise activities.
How many steps do you average during the week? What about weekends?
COMMITMENT
How much time are you ready, willing, and able to consistently dedicate to strength and mobility work?
2 hours a week
3 hours a week
4 hours a week
whatever it takes, I will block time off for
Are you in a position today to make a fully invested 16 - 32 week commitment to your physical and mental growth?
How do you feel that my program and my coaching specifically will help you to achieve your goals?
Are you willing to trust my expertise, follow my guidance, and communicate openly if something doesn't feel right?
yes
no
What programs(s) are you interested in?
1:1 personal training
Online training
Hybrid training
I'm not sure
Thanks for taking the time to fill out this application. Please let me know if there is any other information you feel I should know about your health, lifestyle, personality, fitness, etc. that would help me better coach you.
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