The Lifelong Athlete: Performance Questionnaire
We are excited to see that you're interested in 1:1 online training! To better assist you in achieving your goals, we want to learn more about you. Please fill out the following form and we will be in touch (via email) within 24-hours!
First & Last Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Mailing Address *
Your answer
Birthday *
MM
/
DD
/
YYYY
What goals do you wish to accomplish in the next 6-12 months? *
Your answer
What are important dates that we should know about (ex. major competitions, vacations, etc..)? *
Your answer
What training schedule are you willing to commit to (ex. days per week, session lengths? *
Your answer
Have you ever worked with a performance coach before? *
What training have you completed in the past? *
Your answer
What equipment do you have access to (select all that apply)? *
Required
What specific weight amounts do you have for this equipment (ex. dumbbells 5-50 lb)? *
Your answer
What areas do you wish to see improvement (ex. Shoulder Mobility)? *
Your answer
List any past injuries or limitations we should be aware of. *
Your answer
How would you rate your current fitness level? *
Poor
Excellent
How would you rate your current nutrition level? *
Poor
Excellent
How would you rate your current sleep schedule? *
Poor
Excellent
How meaningful are your goals to you? *
Not Important
Highly Meaningful
What forms of contact work best for you? *
Required
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. *
Your answer
Please Initial: I understand that training is not an overnight fix. It is a steady journey that requires consistency to be effective. *
Your answer
Please Initial: I understand that Bomenclature LLC operates under a 30-day cancellation notice for 1:1 online training services. *
Your answer
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