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Training with Barbell

TRAIN YOUR BODY

TEACH YOUR MIND

Understanding your body is the first step to changing it. I work with people who are ready to feel at home in their bodies again. Through customized movement coaching, strength-based rehab, and deep body education, I’ll help you reconnect with how your body moves, learn what it needs, and build the strength to support the life you want to live.

ONLINE PERSONAL TRAINING & NUTRITIONAL COACHING ONBOARDING FORM

Thank you for choosing our coaching services. Please complete this form thoroughly. All information will be kept confidential and helps us design the most effective plan for you.

SECTION 1: PERSONAL INFORMATION

Birthday
Month
Day
Year

SECTION 2: HEALTH BACKGROUND

Have you ever been advised not to exercise by a healthcare provider?

SECTION 3: FITNESS HISTORY & LIFESTYLE

Current Activity Level (within the last 6 months)
Sedentary
Lightly active
Moderate active
Very active
Other

SECTION 4: PRIMARY GOALS

What are your top 1–3 health, fitness (ie. functional, strength, aesthetic), or nutrition goals?


Why are these goals important to you?

Eg. I want to learn more about proper lifting techniques (the what) to reduce the risk of injury (the why).

Eg. I want to improve my bone density (the what) because low bone density runs in my family (the why).

Eg. I want to squat 225 (the what) because I think it's cool (the why).

1- Not confident at all

5- I'm not sure, but let's give it a go!

10- Very confident! When can we get started?

SECTION 5: NUTRITION & EATING HABITS

Eg. vegetarian, whole foods, IIFYM, intermittent fasting


SECTION 6: MACRONUTRIENT & CALORIE TRACKING

Do you track your food intake?
Yes
No
Other
If yes, how do you track?
Have you used a food scale before?
Yes
No

If known, list your current daily targets below

If unsure, estimate to the best of your ability.

Are you aiming to
Be in a deficit
Surplus
Maintain
Recomposition
Not sure

SECTION 7: EQUIPMENT & TRAINING PREFERENCES

Do you have access to a gym?
Yes
No
Would you like to include cardio?
Yes
No
Optional

Please explain.

SECTION 8: COACHING LOGISTICS

Preferred communication method
Preferred check-in frequency
How structured vs. flexible do you want your plan?

SECTION 9: SPECIALIZED COACHING NEEDS

Please check any that apply

SECTION 10: CONSENT & SIGNATURE

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