Intake Form:

Name: *

First Name

Last Name

How do you prefer to be contacted?

Phone Call

Text Message

Email

Instagram DM

EXERCISE/ACTIVITY LEVEL: Which describes you best? *

You are virtually sedentary, which may be for a variety of reasons: a lack of interest or desire to work out, recovering from surgery, prolonged illness, etc. If you don’t partake in strenuous activity at all during the week, this is you. A lot of grad students tend to get stuck in this category!

You train less than 5 hours a week. If you make it to the gym a few times a week and train no longer than an hour, you will most likely fall into this category. Moderately active.

You train 5-10 hours a week. This or the previous category usually fit if you’re an avid gym-goer. Example: You go to the gym during the week for a little over an hour a day and remain relatively active on the weekends.

You train 10-15 hours a week, either as longer sessions done 5-6 days a week or perhaps more than one exercise session per day, teaching multiple fitness classes daily, etc. Those really dedicated to fitness, various modes of exercise, or are training for a specific sport/event usually fall into this category.

You train 15-20 hours a week. Typically in-season competitive athletes, people prepping for a meet/competition whose increased training volume warrants a higher multiplier and people who train twice a day fall into this category. Many competitive functional fitness athletes, power-lifters, Olympic weightlifters, and strongmen will find themselves here.

You train over 20 hours a week for a particular sport. These are typically going to be elite endurance, performance, and strength athletes.

NEAT LEVEL: Outside of the gym/training, how active are you daily? *

Minimal (sitting mostly)

Moderate (on feet most of the time, standing, walking, etc)

Very (on feet all day, walking, lifting, construction, hard labor, fitness coach, etc.)

GYM EXPERIENCE: How experienced are you with strength training? *

Beginner

Intermediate

Advanced

STARTING: When can you start? *

MM

DD

YYYY

COMMITMENT: Can you commit to following at least 12 Weeks of a program? *

Yes

No