Get Strong Coaching Application Form

Full Name*:

Email Address*:

Confirm Email Address*:

Best Phone Number:

Gender*:

Male Female

Age*

Height (inches)

Weight (pounds):

Body Fat% (if known)

How would you describe your experience level in regards to lifting weights*?

I’m completely new, I’ve never lifted weights before

I’ve dabbled in the gym, and can do some machine exercises, but I’m not confident in my ability to do many free-weight exercises like squats, deadlifts, pull-ups, etc

I’m confident in my technique in most basic gym exercises (squats, deadlifts, bench presses, pull ups, glute ham raises, etc)

I’m a lifetime pro --- I’ve been a gym rat for years and am familiar with many different exercises and training protocols. I just need help stepping it up a notch!

What do you hope to achieve through this coaching program? Be as specific as possible about your physique, performance and health goals.*

Will our coaching program be intended to prepare you for an upcoming physique competition?*

How motivated are you to achieve your goals?*

Are you aware that in order to change your body, you MUST make aware-sacrifices and that you can’t continue many of your current habits if you want to succeed?

What are you willing to sacrifice to achieve your goals?*

Please list any current injuries.

Please list any past injuries.

Are there any exercises that you cannot do for any reason?

Do you have access to a massage, ART, MAT, or sports therapist in your area?*

Please list any health conditions we should be aware of and/or any medications you are taking.

Why do you want to be a part of our Customized Coaching program at this time in your life?*

On a scale of 1-10, how committed are you to your goals? And if you're not a 10, what needs to happen to make you a 10? *

Why do you believe that you will be a successful coaching student and be able to execute your programming consistently?*

Anything else you wish to share with us?