D1 Dad Workout Program Intake

1
Full name* This field is required.
First Name
Last Name
2
Email address* This field is required.
example@example.com
3
Age* This field is required.
4
Height in feet and inches
5
Current weight in pounds
Enter your weight in pounds
6
Primary goal* This field is required.
Fat loss
Build muscle
Maintain and perform
Longevity and stay healthy
Get out of pain
7
What does success look like 8 weeks from now?* This field is required.
8
Why now and why is this the moment?
9
Years of consistent strength training
Less than 1
1 to 3
3 to 5
5 to 10
10 plus
10
Self-rated training level* This field is required.
Beginner
Intermediate
Advanced
11
Athletic background
What sport did you play, and at what level?
12
When was your last consistent 8 week training cycle
Currently training
Within the last 3 months
3 to 12 months ago
Over a year ago
Never had one
13
Current training days per week
0
1 to 2
3
4
5
6 plus
14
Where do you train most often?* This field is required.
Commercial gym
Home gym
Garage gym
Mix of locations
Other
15
If you train at home or garage, check all equipment you have access to.
Barbell
Squat rack
Dumbbells
Kettlebells
Resistance bands
Bench
Pull up bar
Cable machine
Rower
Assault bike or stationary bike
Ski erg
Sled
Battle ropes
Plyo box
Outdoor space for sprinting or carrying
16
How often do you travel for work or family?
Never
1 to 3 times per month
Weekly
Always on the road
17
How many days per week can you realistically train?* This field is required.
3
4
5
6
18
How many minutes per session can you commit to?* This field is required.
30
45
60
75 or more
19
Preferred time of day to train
Early morning before kids
Mid morning
Lunch
Afternoon
Evening after kids
20
Days that are off limits
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
21
Average sleep per night in hours
4 to 5
5 to 6
6 to 7
7 to 8
8 plus
22
Stress level right now on a scale from 1 to 10
1
2
3
4
5
Best
23
List any current injuries or chronic pain. Be specific about location and what makes it worse.* This field is required.
24
Past surgeries
25
Joints that get cranky on you. Check all that apply.
Knee
Hip
Low back
Shoulder
Neck
Ankle
Wrist
Elbow
None of the above
26
Movements you actively avoid.
Running
Overhead pressing
Deep squats below parallel
Conventional deadlift
Jumping or plyometrics
Burpees
None of the above
27
Have you been cleared by a doctor to train* This field is required.
Yes
No
Not sure but I have no reason not to be
28
Cardio preference. What do you actually enjoy.
Running
Rowing
Biking
Sled pushes
Kettlebell flows
CrossFit style metcons
I would rather not do dedicated cardio
29
Movements you LOVE and want more of
30
Movements you HATE
31
Do you currently track macros or calories?
Yes consistently
On and off
No
32
Estimated average daily calories
33
Diet style
Standard mixed diet
High protein focused
Low carb or keto
Vegetarian
Vegan
Other
34
Allergies or food restrictions
35
Average alcoholic drinks per week
36
Biggest nutrition challenge
37
How many kids do you have?
38
Ages of kids
39
Job type
Please Select
Please Select
Desk job
Active or physical job
Shift work
Travel heavy
Self employed or run my own business
Mix
40
Marriage or partner status
Married
In a long term relationship
Single
Other
41
Is your partner training too or interested in training?
Yes already training
Yes interested but no plan yet
No
Not applicable
42
Biggest life obstacle to staying consistent with training
43
On a scale of 1 to 10, how committed are you right now?* This field is required.
1
2
3
4
5
6
7
8
9
10
1
10
44
Have you tried online programs before. What worked or did not work?
45
What is your single biggest fear or hesitation about starting this?
46
Your playbook is in motion. We will review your intake within 24 hours and your program will be built specifically for you. Welcome to the team.

- Coach Mike, Dad of 3 & Founder of D1 Dad.
47
My Products
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Dad Foundation Stack
8-week strength program + 30 conditioning workouts + substitution playbook + mobility flow + D1 Dad Private Team Community + D1 Dad Foundations Course
$149.00Edit
Back
1
1
2
3
4
5
6
7
8
9
10
Quantity
Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
Should be Empty: