Client Snapshot — ManlyMovement
Share your training background, injuries, goals, and scheduling preferences so we can make our first conversation count.
About You
First Name
*
Last Name
*
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Age
*
Which track are you most interested in?
*
Hybrid Calisthenics Coaching (Beginner)
Hybrid Calisthenics Coaching (Intermediate)
Hybrid Calisthenics Coaching (Advanced)
Assisted PNF/PIR-MET Stretching
Specialty 1-on-1
Online Coaching (Google Meet)
Nutrition Guidance
ManlyMovement Membership (monthly plans)
Newcomer Bundle (trial package for new clients)
Not sure yet / open to recommendations
How did you hear about ManlyMovement?
Training History & Injuries
Have you trained consistently before?
*
Never trained before
Some past experience
Currently training
Returning after a long break
What kind of training have you done?
Weightlifting
Calisthenics / bodyweight
Team sports
Running / endurance
Physical therapy / rehab
Other
How long since your last consistent training block?
Please Select
Currently active
Less than 3 months
3–12 months
1+ years
Never trained
Do you have any current or past injuries, surgeries, or diagnosed medical conditions I should know about?
*
No
Yes
Please describe — including approximate dates and whether it's fully resolved.
Are you currently cleared by a physician for exercise, or do you have movement restrictions?
*
Fully cleared, no restrictions
Not sure / haven't checked
I have restrictions
Please describe your restrictions.
Goals & Wellness
What’s your #1 goal right now?
*
Build strength
Build muscle / size
Lose weight or improve body composition
Improve flexibility / mobility
Train for a sport or skill
General health and energy
Recover from an injury
Other
Anything else driving that goal?
Would you like nutrition guidance included in your coaching?
Yes
No
Not sure yet
Are you interested in assisted stretching services (PNF/PIR-MET manual stretching) as part of your coaching?
Yes
No
Do you currently stretch or do mobility work?
Never
Occasionally
Regularly
Average hours of sleep per night
Please Select
Less than 5
5–6
6–7
7–8
8+
Current stress level
Please Select
Low
Moderate
High
Availability
Preferred session format
*
In-person
Virtual
Either works
Which days generally work for you?
*
Mon
Tue
Wed
Thu
Fri
Sat
Sun
General time of day
*
Morning
Afternoon
Evening
Flexible
How many sessions per week are you hoping for?
*
Please Select
1
2
3
4+
Not sure yet
Best way to reach you to schedule
*
Phone call
Text
Email
Anything else I should know before our first meeting?
Submit
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