HolisticLee 1:1 Intake Form
Welcome! 🎉 You’re officially signed up. Please complete this health and training history form so I can personalize your coaching plan. Once completed, I'll reach out to you within 24-72 hours with the email you provided.
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Full Name (First and Last) *
Email Address *
Age *
What does your weekly movement/training look like at the moment? (Ex: mileage, swimming, strength, rest days, etc.) *
Current Injuries (please describe any injuries you're currently working through, or any significant past injuries) *
Medical Conditions (please include anything that may affect your training/is significant for me to know! Type N/A if not applicable) *
Medications (N/A if not applicable) *
Supplements (N/A if not applicable) *
Please describe what your strength training routine looks like currently, including frequency, duration, and one example lift during the week. *
Do you have access to a gym or lift at home? *
When is your next goal race date/distance? (N/A if not applicable or if you're unsure!) *
What are your main goals over the next few months? (Build mileage, race a 5k, heal an injury, build strength, etc.!) *
What are your biggest challenges or frustrations you're currently facing?  *
Is there anything else you'd like me to know? *
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