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Why N1?
Testimonials
Trainer Directory
Terms & Conditions
Online Coaching Intake Form
Name
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First
Last
Email
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How long have you been resistance training?
*
How would you characterize most of your training over the past month?
*
Select
Minimal to nonexistent
Just getting back in to the gym
Crossfit
Low rep strength training with long rest periods
"Bodybuilding" style workouts
Circuit training
What have you been focusing on over the past month?
*
Select
Fat Loss
Muscle Gain
Strength Increase
Mobility / Stability
Endurance / Stamina
What have the results been?
*
What rep range have you been training in most often?
*
Select
<6
6-10
11-15
15+
How many days per week are you willing to train?
*
Select
3
4
5
6
7
How much time do you have for each workout?
*
Select
30-45 minutes
45-60 minutes
60-90 minutes
How much time do your workouts typically take?
*
Select
30-45 minutes
45-60 minutes
60-90 minutes
When was the last time you took at least 5 consecutive days off from weight training?
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Select
Within the last month
Within the last 3 months
3-6 months ago
Over 6 months ago
What are days off?
What time of day do you plan to train?
*
Select
First thing in the morning, no time for a whole food meal
After breakfast
Late morning to early afternoon
Late afternoon to early evening
Late evening, no time for a meal after training and before bed
How busy is your gym?
*
Select
I have lots of freedom for super sets or giant sets
I can super set stations if I need to
It's difficult to do two or more exercises
It's a zoo, no way I can super set stations
What equipment do you have access to?
*
Check all that apply
Hack Squat
Leg Extension
Lying Leg Curl
Seated Leg Curl
Dual Cable Station
What makes you feel like you had a good workout.
*
Select
Massive pump in the muscles I'm training
Working up a good sweat
Using heavy weights with good execution
Building up lots of lactic acid in the target muscle(s). A.K.A. The burn
Picking things up and putting them down
Are you currently doing any aerobic work?
*
Yes
No
Please describe your aerobic routine
(intensity, duration, frequency per week)
How well do you feel you handle carbohydrates?
*
Select
If I look at them I put on body fat
I do well with a small amount of carbs (~1g/lb)
I can stay lean with a moderate amount of carbs (1-1.5g/lb)
I can eat a ton of carbs and stay lean (2g+/lb)
What supplements are you currently taking?
*
Please indicate time of day and amount of each item
Do you participate in other physical activities other than resistance training or aerobic work described above?
*
If so, what and how often?
How would you rate your daily activity level outside of the gym or activities listed above?
*
Select
Sedentary - Sit at a desk all day
Lightly Active - Get up and move around regularly
Moderately Active - On your feet all day
Highly Active - Physical labor
How would you characterize your sleep quality?
*
Select
Fall asleep, stay asleep, wake up refreshed
I have trouble falling asleep
I wake up at least 1x per night, including to use the bathroom
I toss and turn almost all night and/or wake up multiple times
I have poor morning energy, even if I get enough sleep
How is your digestion? Do you ever experience any of the following?
*
Check all that apply
Great, I never have any issues
Feeling bloated after meals
Indigestion / gas
Constipation / Irregularity
Loose stools
I poop less than 1x/day
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