Relentless Lion Marquez Training
This questionnaire is designed to determine the safety or possible risk of exercising for a client based on the answers provided and to obtain information required in order to begin training.
Athlete Details:
Full Name
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Age, Height, and Weight
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E-mail
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Do you have access to social media? (Instagram, Facebook) If yes, please provide your account names.
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How long have you been training with weights?
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Less than one year
One to Two years
More than two years
List any major equipment limitations (No machines, no barbells, no DBs, etc):
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What is your current occupation?
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Does your occupation require extended periods of sitting?
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Yes
No
Does your occupation require extended periods of repetitive movement? (If yes, please explain)
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Does your occupation require you to wear shoes with a heel (dress shoes)?
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Yes
No
Does your occupation cause you anxiety?
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Yes
No
What are your schedule limitations?
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Have you ever had any pain or injuries? (Ankle, knee, hip, back, shoulder, etc.) (If yes, please explain)
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Have you ever had any surgeries? (If yes, please explain)
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Has a medical doctor ever diagnosed you with a chronic disease; such as coronary heart disease, coronary artery disease, high cholesterol, diabetes, or hyperextension (high blood pressure)? (If yes, please explain)
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Are you currently taking any medications? (If yes, please list)
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Any food allergies?
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Are you currently taking any supplements? (If yes, please list)
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What are your maxes from the main lifts you perform? (Squat, Bench, Deadlift, Overhead Press, Power Clean, Snatch, Front Squat) (If unsure or never done, respond "N/A")
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What are your goals? (Short Term goals, long term goals, body weigh goals)
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Payment Options:
WELCOME TO THE TEAM! 💪
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