Online Powerlifting Coaching Application
Thank you for reaching out to me at North Shore Barbell coaching. To ensure I create the most effective program for you, I need some information about you and your training history. Please take your time to answer the following questions thoroughly.
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Full Name *
Preferred Name(s)
Email  *
Date of Birth *
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What city do you live in? *
Are you a student? *
What is your current weight? *
What is your goal weight? *
What weight class do you want to compete in? *
How many times per week are you currently training? (Consistently) *
How many years have you been resistance training? *
What days of the week would you like to train? (this should align with the chosen frequency of training) *
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Do you have a competition planned? If so, when? *
What are your best competition lifts (squat, bench, deadlift and total) and when were these done? If yet to compete, please leave blank and refer to the next question
What are your best lifts across the squat, bench and deadlift over the past 6 months? Please include all relevant rep PBs i.e. 1RM and/or 3RM, 5RM etc.
What is your current weekly training frequency across the squat, bench and deadlift (including competition variations)? For example - squat x 2, bench x 2, deadlift x 1 *
What have you enjoyed about previous training programmes you have done? *
Please state any exercises or programming styles that you have found work well for you
Have you used an RPE (rate of perceived exertion) style of training before? If yes, did you find it worked well for you?
What are your powerlifting goals? *
How important are these goals to you? *
What other health and fitness goals do you have?
How important are these goals to you?
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What barriers do you come across when trying to achieve these goals?
What other exercise are you doing outside of powerlifting training?
What equipment do you have available to train with? *
What is your occupation?
On a scale of 1-10,  how physically exerting is your occupation? (where 10 is extremely exerting)
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Have you received coaching for powerlifting before?
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If yes - how was your coaching experience?
Please list any relevant injuries
Please list any medical conditions you feel may be relevant
What coaching option are you interested in? *
When would you like to start with NSBB coaching? *
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Do you agree to the terms & conditions stated below?
North Shore Barbell Coaching (NSBBC) and its personnel are not registered dietitians or nutritional specialists. All the guidance you will receive from NSBBC will be based off the coaches own experiences and knowledge. It is highly recommended that if you wish to pursue a powerlifting programme that you consult with your general practitioner (GP) before doing so. Before undertaking coaching under NSBBC please read and understand the following You (customer) fully understand that you (customer) may acquire injury/health issues as a result of the training programme provided to you by your coach at NSBBC. By acknowledging this you are releasing NSBBC from any liability associated with injury acquired from your prescribed training, including, but not limited to heart attacks, death, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries and any other illness, soreness or injury. By submitting this application, you state that in consideration of your participation in NSBBC's powerlifting meet preparation program, you for yourself, your personal representatives, administrators, heirs and assigns, hereby holds harmless, NSBBC from any claims arising from your participation in the powerlifting meet preparation/fitness.
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