Your Training Journey STarts Now.Interested in working together? Fill out this questionnaire and I will be in touch with next steps! Name * First Name Last Name Email * Phone * (###) ### #### Birthday * MM DD YYYY How did you find The Lifelong Athlete? * US Masters Swimming Content Current Client of The Lifelong Athlete Web Search Social Media Other Goals & Schedule In this section, I will ask a few questions about your goals, important dates, and training schedule. What measurable goals do you wish to accomplish in the next 6-12 months? * Are there any important dates I should be aware of (ex. competitions, vacations, etc.)? * What training schedule are you willing to commit to (ex. days per week, session length)? * Have you worked with a coach in the past? * Yes No What type of training has worked well for you in the past? * Equipment Availability While a successful program can be created with a range of equipment, I want to see all that you have access to for when I build your workouts. What equipment do you have? * Select all that apply. Dumbbells 5-25 lb Dumbbells 5-50 lb Dumbbells 5-100 lb Barbell & Plates Squat Rack/Stand Cable Pulley Machine Stability/Physio Ball Medicine Ball Bench Plyo Box/Steps Mini-Bands (small circle bands) Resistance Bands (long bands that can be attached to an anchor point) Pull-Up Bar Suspension Trainer (ex. TRX, Rings) Open Space (15-20 yds) Rower Stationary Bike Treadmill Motivation In the final section, I want to hear what your motivations are and how to best communicate with you. What areas do you wish to see improvement (ex. shoulder mobility)? * List any past injuries or limitations that I should know about. * How would you rate your current fitness level? * 1-Poor 2 3-Average 4 5-Excellent How would you rate your current nutrition level? * 1-Poor 2 3-Average 4 5-Excellent How meaningful are your goals to you? * 1-Not Meaningful 2 3-Somewhat Meaningful 4 5-Highly Meaningful What coaching style do you respond the best to? * Supportive Accountability Stern Uplifting/Motivational Educational Please Initial: I understand that I am assuming all risks associated with starting this training program and have been cleared by a medical professional for physical activity. * Please Initial: I understand that training is not an overnight fix. It is a journey that requires consistency to be effective. * Please Initial: I understand that Bomenclature LLC (DBA as The Lifelong Athlete) operates under a 15-day cancellation notice for 1:1 remote coaching services. * Thank you for your thoughtful answers! I will send an email with your next steps!
