Athlete Info
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Other
E-mail
*
example@example.com
Height
*
Weight
*
Sports
*
MMA
Boxing
Muay Thai
Wrestling/Grappling Sport
Other
Weight Class / Inspiring Weight Class
*
Middleweight,Heavyweight,Light Heavyweight Etc
Phone Number
*
-
Country Code
-
Area Code
Phone Number
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Goals & Training History
What Are Your Training Goals Right Now? Be As Detailed As Possible.
How Long Have You Been Training Consistently
Please Select
0-6 Months
6-12 Months
1-2 Years
3+ Years
List Your Personal Best If Known Power Clean : Squat : Pull & Push Ups Max Reps & Weighted PR : Vertical Jump : Broad Jump :
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Current Routine & Schedule
How Many Days Per Week Can You Train
Please Select
1-2
3-4
5-6
What Days Are Best For You
Mon
Tues
Wed
Thru
Fri
Sat
Sun
Are You Currently In-Season,Off-Season or Pre-Season/ In Fight Camp or Out of Camp
In-Season
Off-Season
Pre-Season
In Fight Camp/ Active Fighter
Out of Camp/ Not Actvie
Times of the Day Can You Train
Morning (5-11:59 AM )
Afternoon ( 12-4:59 PM)
Evening ( 5-9:00 PM)
Access to a Gym , Equipment, or Field?
I Have Access To a Gym and Can Find an Open Area Near Me
I Just have a Couple of Dumbbells
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Injury & Health History
Do you have any current injuries or pain? (Explain) List Any Previous Injuries , Surgeries, or Broken Bone. Do You Have Any Medical Conditions ? Are you currently taking any medications or supplements?
Are you currently cleared to train by a physician?
Yes
No
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Continue
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Movement & Performance Assessment
Can You Touch Your Toes w/ Knees Straight
Yes
No
Can you Squat Parrallel or Below Pain Free ?
Yes
No
Rate Your Mobility.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What Would Say Your Strength's Are?
Send Videos of You Lifting, Running ,Jumping, Sprinting etc
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Lifestyle & Recovery
How Many Hours of Sleep Do You Get on Average?
Please Select
1-2 Hrs
3-4 Hrs
5-6 Hrs
7-8 Hrs
8-9+ Hrs
How's Your Nutrition Right Now?
Excellent
Good
Poor
Stress Levels
Best
1
2
3
4
Worst
5
1 is Best, 5 is Worst
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Preferences & Communication
Do You Like Being Pushed Hard ?
Yes
No
Preferred Coaching Style
Detailed & Technical
Minimalist
Accountability Focused
Motivational
How do you prefer to receive feedback?
Live & Virtual
Weekly Call
Text
Video
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Final Info
Anything else i should know ?
Signature
Submit
Submit
Should be Empty: