Remote Client Questionnaire
* Required
Email address
*
Your email
Country
Your answer
Name
*
Your answer
Age
Your answer
Body Weight
Your answer
Profession
Your answer
Years training experience?
Your answer
Years powerlifting?
Your answer
Number of competitions?
Your answer
Next Competition?
Your answer
Current PRs (Squat, Bench, Deadlift)
Your answer
Describe any injuries you have currently or have dealt with in the past.
Your answer
Describe short term goals you have with coaching.
Your answer
Describe long term goals you have with coaching.
Your answer
What expectations do you have with your relationship with your coach?
Your answer
Submit a few videos of your best squats. (Instagram, YouTube, Google Drive links)
Your answer
Submit a few videos of your best benches. (Instagram, YouTube, Google Drive links)
Your answer
Submit a few videos of your best deadlifts. (Instagram, YouTube, Google Drive links)
Your answer
Have you worked with coach before?
Yes
No
Clear selection
What did you like or dislike about that experience?
Your answer
What days are you able to train?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours on those days are you able to train?
Your answer
What days would fit your schedule to have the longest workouts?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What accessory equipment do you have available? Fill in other if you think it's relevant.
Power Rack
Belt Squat
Safety Squat Bar
Leg Press
Hack Squat
Chest Support Row
T Bar or Landmine Row
Dumbbells
Adjustable Bench
Lat pulldown/seated row
Upper Body Pressing Machines
Leg Ext
Leg Curl
Bands/Chains
GHR
Dip Bar
Bench Blocks
Blocks for Deadlifts
Other:
How well do you do with nutrition?
1 - Horrible. I don't think about it.
2 - Bad. I understand concepts but don't do much about it.
3 - Ok. I don't track but I "try" to eat the right things.
4 - Good. I am midful of my food and try to be consistent but could be better
5 - Great. I track my food and follow a plan consistently.
Clear selection
Which coaching options are you interested in?
Weekly Coaching
Unlimited Coaching
What led to your interest with coaching from Brazos Valley Barbell / David Woolson?
Your answer
Any information that you think would be relevant to us working together.
Your answer
What additional quesitons would you like me to answer for you?
Your answer
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