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Team Rohr Powerlifting Questionnaire
Beginning Questionnaire for Team Rohr customized powerlifting training. Please fill this out prior to scheduling a free consultation with one of our coaches.
If you're not ready to fill this out or if you want more information first, please
contact us
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Referral Code
*
I don't have one
Other:
Please select your preference of which coach to work with.
*
Josh Rohr
Wade Johnson
No Preference
Date of Birth
*
MM/DD/YYYY
MM
/
DD
/
YYYY
City/State you live in
*
Your answer
Current Bodyweight
*
Your answer
Desired Bodyweight
*
If different from current bodyweight
Your answer
Do you have any injuries/disabilities that might limit you training for powerlifting?
*
Yes
No
If you answered "yes" please list and explain here
Your answer
Please rate your ability to "grind out" weights.
*
Do you have the ability to grind out weights (slow) or does it have to be fast in order to finish the lift?
Can Grind
Medium
If not fast, I fail
Squat
Bench Press
Deadlift
Can Grind
Medium
If not fast, I fail
Squat
Bench Press
Deadlift
Where is your sticking point on each lift?
*
Where do you fail on each lift if you fail?
Bottom
Middle
Top
Squat
Bench Press
Deadlift
Bottom
Middle
Top
Squat
Bench Press
Deadlift
Please check all that apply to your squat technique.
*
Narrow Stance (foot placement)
Medium Stance (foot placement)
Wide Stance (foot placement)
High Bar Placement (on back)
Low Bar Placement (on back)
Other:
Required
Please check all that apply to your bench technique
*
No Arch (flat back)
Medium Arch
Big Arch
Wide Grip (index finger on the power ring)
Medium Grip (Ring Finger on the power ring)
Narrow Grip (Pinky Finger inside the power ring)
Other:
Required
Please check all that apply to your deadlift technique
*
Conventional Stance (narrow feet)
Sumo Stance (wide feet)
Hook Grip (double overhand grip)
Split Grip (one hand over/one hand under)
Hands are narrower than shoulder width
Hands are equal to shoulder width
Hands are wider than shoulder width
Other:
Required
Do you have specific days that need to be training days?
*
Please check all that apply
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Any day can be a training day
Required
How many total days/week can you commit to a training program (with Team Rohr and on your own)?
*
Choose
1
2
3
4
5
If you will be training with Team Rohr in person, which days will that be?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How much time do you have to devote to a training session?
*
<1 hour
1 hour
2 hours
3 hours
Other:
Number of years lifting
*
Choose
<1
1-2
2-3
3-5
>5
Number of years competing
*
Choose
Never
<1
1-2
2-3
3-5
>5
Current Squat Max
*
Raw and Equipped (if applicable)
Your answer
Current Bench Press Max
*
Raw and Equipped (if applicable)
Your answer
Current Deadlift Max
*
Raw and Equipped (if applicable)
Your answer
Personality Test
Please take this
free personality test
and copy/paste the link to your results below. Please answer honestly as this will help us better understand you as a person, which will help us better understand you as a lifter.
Your answer
If training at your own facility (other than Team Rohr's facility), please list your available equipment.
Example: Incline Bench, Dumbbells, Power Cage, Chains, etc.
Your answer
Please describe any training plans you have followed in the past
*
If you've never followed one, please put "none"
Your answer
How did they work for you & What did you like/dislike about them?
*
If not applicable, put "n/a"
Your answer
When would you like your programming to begin?
*
At least 10 days notice is required.
MM
/
DD
/
YYYY
Do you have an upcoming competition? If so, what meet and when is it? Will you be competing raw or equipped?
*
If no competition, put "none"
Your answer
How did you hear about Team Rohr Powerlifting?
Your answer
Please list any additional comments/info that will help us in designing a program for you
Your answer
Please post links to any videos of your training or competing that you have available
Prefer Youtube or Instagram
Your answer
Instagram handle
Your answer
Cell Phone #
Your answer
A copy of your responses will be emailed to the address you provided.
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