Everyday Athlete Intake Form

Name

First NameLast Name

Age

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Preferred Contact Method (Email, Text, Call)

What are your main goals right now? (E.g. Strength gain, fat loss, build muscle, improve general fitness)

Do you have a specific target in mind? (E.g. Achieve 1st pull up, squat 100kg)

What are the biggest barriers stopping you from making progress until now?

Everyday Athlete sessions are every Monday, Wednesday & Friday at 6am, are you available at these days and times?

Everyday Athlete is a small group pt programme. This means you will be training with other people, is this something you are comfortable with?

The programme includes training, accountability, and check ins - are you open to committing to all aspects, not just thr gym sessions?

There may be times that the session or aspects of the session will be recorded for use on social media - is this something you are comfortable with?

Have you trained with a PT before? (E.g. one-on-one or in a group setting)

Are you currently exercising at the moment and if so, how often?

What kind of training have you performed in the past? (E.g. body building, powerlifting. HYROX, Crossfit, Running etc.)

Do you have any injuries, medical conditions or limitations that you feel I should be made aware of?

Is there any specific exercises that you would like to focus on during training? (E.g. improving depth on a back squat, Improving max bench press)

Is there any specific exercise you would like to avoid during training? (E.g. Bench Press due to shoulder injury)

What is your current one rep max in the Squat, Bench Press & Deadlift?

Do you plan on doing any additional training beyond the three Everyday Athlete sessions?

On a scale of 1-10, how confident do you currently feel in the gym?

On a scale of 1-10, how ready are you to commit to improving you health and fitness?

If you are a good fit for the Everyday Athlete plan, are you happy to be contacted to arrange a chat to go through the next steps?

Personal Details