Training_PreQual
  • Sex
  •  -
  • Please rate the activity level at your job?*
  • Are you a student?*
  • Are you an active, reservist, or veteran of the United States military?*
  • How often do you travel?*
  • Are you prepared to invest in yourself and be patient as you work towards your goals?*

  • Health History

  • Are you experiencing any stresses or motivational problems?*
  • Has anyone of your immediate family developed heart disease before the age of 60?
  • Do any diseases run in your family?
  • Do you suffer from diabetes, asthma, high or low blood pressure?
  • Are you/will you be cleared by a medical professional to start a new training regimen or make the personal choice not to consult with a medical professional?*

  • Day-to-Day and Goal-Setting

  • Do you smoke, or vape?*
  • Your current nutrition habits could be best characterized as:*

  • Rate the quality of your nutrition habits 1-10*
  • Please rate your readiness for change.*
  • What best characterizes your goal(s):*

  • Please rate your "motivational" level to do what it takes to reach your goal.*

  • Fitness

  • Are you currently exercising regularly (at least 3x per week)?*
  • Have you trained with a personal trainer before?*
  • At what times during the day would you prefer to train?*

  • Firearm Instruction

  • Rate your Experience with Firearms 1-10*
  • Do you have a CPL (Concealed Pistol License)*

  • Finalizing

  • If accepted for the program, what date would you like to start?*
     - -

  • 1.) CANCELLATIONS Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client. 2.) LATE ARRIVALS Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client. 3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT All the information on this form is correct and to the best of my knowledge. 4.) I have sought and followed any necessary medical advice before beginning a new or altered training regimen. 5.) I understand that the submission of this form does not guarantee admission to the EBG Training Program and that an in-person consultation or, if applying for online coaching, a video conference will be necessary. 6.) I understand that is my own responsibility to make the decisions necessary to see my own elevation as a person, and  my coach as well as EBG Training are not guaranteeing any result--but they are guaranteeing an opportunity to learn and improve towards an elevated version of myself. 

    I understand that all the information given will be kept confidential.

  • I AGREE TO THE ABOVE TERMS & CONDITIONS!*
  • Should be Empty: