Fitness & Coaching Questionnaire

Help me understand your needs to serve you better.

INTRO: I am looking for…

Personalized training program Online coaching In person coaching (available only in Zagreb, Croatia)

PERSONALIZED PROGRAM

Tell me about yourself.

First name: Last name: E-mail:

I would like a personalized program for (weeks):

What type of training are you interested in? (Select one)

Fitness (body-shaping focused) Functional training (strength/health/feeling better) Strength & Conditioning (sport specific) Olympic Weightlifting

1-ON-1 COACHING

First name: Last name: E-mail: Phone number (optional):

What type of 1-on-1 coaching are you interested in?

Online coaching In-person (available only in Zagreb, Croatia)

What type of training are you interested in? (Select one)

Fitness (body-shaping focused) Functional training (strength/health/feeling better) Strength & Conditioning (sport specific) Olympic Weightlifting

FITNESS QUESTIONNAIRE

What is your experience level?

Beginner – I’ve never followed a consistent training routine Intermediate – I train occasionally or used to train consistently Experienced – I follow a consistent training routine and am looking for a way to improve my results Advanced – I train regularly

Where do you want to train?

At home At the gym

What are your goals? (Select all that apply)

Other goals:

How much time can you dedicate to training?

Sessions per week:

Minutes per session:

Are you currently recovering from an injury?

Yes No

If yes, please describe:

Do you have a history of injuries?

Yes No

If yes, please describe:

Are you suffering from any medical condition or have a history of any serious medical conditions (including high/low blood pressure, arrhythmia or other cardiovascular diseases)?

Yes No

If yes, please describe:

Approximately how many hours of sleep are you getting at nights?

Body metrics:

Height (cm):

Weight (kg):

Gender:

Age:

Desired physical changes? (select all that may apply)

Other physical changes:

What type of exercise works for you?

Bodyweight/movement training with minimal equipment Free weights, machines and minimal cardio Crossfit and HIT style workouts

Other exercise preferences:

FUNCTIONAL TRAINING QUESTIONNAIRE

What is your experience level?

Beginner – I’ve never followed a consistent training routine Intermediate – I train occasionally or used to train consistently Experienced – I follow a consistent training routine and are looking for a way to improve my results Advanced – I train regularly

Where do you want to train?

At home At the gym

What specific goals you would like to achieve (select all that apply)

Other goals:

Time available for training:

Sessions per week:

Minutes per session:

Are you currently recovering from an injury?

Yes No

If yes, please describe:

Do you have a history of injuries?

Yes No

If yes, please describe:

Are you suffering from any medical condition or have a history of any serious medical conditions (including high/low blood pressure, arrhythmia or other cardiovascular diseases)?

Yes No

If yes, please describe:

Approximately how many hours of sleep are you getting at nights?

Body metrics:

Height (cm):

Weight (kg):

Gender:

Age:

Do you have any specific fitness needs you want to focus on (select all that apply)

Stability/balance/coordination Explosiveness Endurance Reduce unilateral imbalances in upper body Reduce unilateral imbalances in lower body

Learn/improve specific skill (ex. pullup, pushup, chinup, dip, vertical jump, sprint…):

What type of exercise works for you?

Bodyweight/movement training with minimal equipment Free weights, machines and minimal cardio Crossfit and HIT style workouts

Other exercise preferences:

STRENGTH & CONDITIONING QUESTIONNAIRE

What sport do you play?

What’s your experience level in that sport?

Beginner Intermediate Advanced

Do you have experience with weight training?

Yes No

Exercises included in your current training program (select all that apply):

Write down your current 1 rep max in these lifts (kg, skip if unknown):

Barbell back squat:

Barbell deadlift:

Barbell bench press:

Power snatch:

Squat snatch:

Power clean:

Squat clean:

Strict press (military press):

Where would you like to train?

At home At the gym

Season status:

Off season In season

If Off season, season starts in (weeks/months): If In season, off season starts in (weeks/months):

What specific goals are you looking to achieve (select all that apply)?

Other goals:

Are you currently recovering from an injury?

Yes No

If yes, please describe:

Do you have any history of injuries?

Yes No

If yes, please describe:

Are you suffering from any medical condition or have a history of serious medical conditions (including high/low blood pressure, arrhythmia or other cardiovascular diseases)?

Yes No

If yes, please describe:

Approximately how many hours of sleep are you getting at nights?

How much time are you willing to dedicate to strength & conditioning training (outside your sport)?

Sessions per week:

Minutes per session:

Body metrics:

Height (cm):

Weight (kg):

Gender:

Age:

OLYMPIC WEIGHTLIFTING QUESTIONNAIRE

What is your experience level with weightlifting movements (snatch, clean&jerk)?

Novice – I have never tried snatch, clean & jerk Beginner – I have been practising snatch, clean & jerk inconsistently or have tried them a couple of times Intermediate – I have basic knowledge on how to perform snatch, clean & jerk Advanced – I have solid technical foundation but lack consistency in snatch and clean & jerk Highly advanced – I am technically proficient in snatch and clean & jerk and are looking for a program to follow

What is your experience with these strength exercises (rate from 1 = not experienced at all to 10 = highly experienced)?

Back squats:

Front squats:

Deadlift:

Push press:

Strict press:

Overhead squats:

Do you have 1 repetition max in following exercises / what is the heaviest weight you’ve done these exercises with (kg)?

Snatch:

Clean & jerk:

Back squat:

Front squat:

Deadlift:

Power snatch:

Power clean:

Push press:

Strict press:

Do mobility restrictions prevent you to get into following positions (select all that may apply)?

Deep squat Front rack with elbows > 75° Overhead squat

Are you currently recovering from an injury?

Yes No

If yes, please describe:

Do you have any history of injuries?

Yes No

If yes, please describe:

Are you suffering from any medical condition or have a history of serious medical conditions (including high/low blood pressure, arrhythmia or other cardiovascular diseases)?

Yes No

If yes, please describe:

Approximately how many hours of sleep are you getting at nights?

Body metrics:

Height (cm):

Weight (kg):

Gender:

Age:

*Optional body segment lengths (cm):

Upper leg length:

Lower leg length:

Torso length:

Arm length:

Time available for training:

Sessions per week:

Minutes per session:

What are your specific weightlifting goals (select all that apply)?

Other goals:

Thank You!

Your questionnaire has been submitted.

I will get back to you shortly.

Fitness & Coaching Questionnaire

INTRO: I am looking for…

PERSONALIZED PROGRAM

1-ON-1 COACHING

FITNESS QUESTIONNAIRE

FUNCTIONAL TRAINING QUESTIONNAIRE

STRENGTH & CONDITIONING QUESTIONNAIRE

OLYMPIC WEIGHTLIFTING QUESTIONNAIRE

Thank You!

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