Fitness & coaching questionnaire Help me understand your needs to serve you better Contact Form Demo (#7)I am looking for… Personalized training program Online coaching In person coaching (available only in Zagreb, Croatia)First NameLast NameEmailPhone number (optional):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 WeightliftingWhat 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 followWhat 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 squatWhat sport do you play?What’s your experience level in that sport? Beginner Intermediate AdvancedDo you have experience with weight training? Yes NoExercises included in your current training program (select all that apply): Barbell back squats Barbell front squats Barbell deadlifts Power clean / squat clean Power Snatch /squat snatch Barbell bench press Barbell strict press Barbell push press Dumbbell/kettlebell shoulder press Dumbbell bench press Dumbbell/kettlebell squats Dumbbell/kettlebell deadlifts/Romanian deadlifts Barbell Romanian deadlifts Bulgarian spit squats Barbell/dumbbell hip thrusts Barbell good morning Barbell/dumbbell lunges Box jumps Weighted box jumps Depth drops/depth jumps Weighted squat jumps Trap bar deadliftsWrite 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):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 regularlyWhere do you want to train? At home At the gymSeason status: Off season In seasonSeason starts in (weeks/months):Off season starts in (weeks/months):What specific goals are you looking to achieve (select all that apply)? Increase overall strength Increase upper body strength Increase core strength Improve power (rate of force development) Increase lower body strength Improve endurance Be more explosive Improve coordination and balance Regain fitness post-break/injury Improve vertical jump height Improve sprint speedOther goals:What are your goals? (Select all that apply) Loose weight Gain weight Increase overall strength Increase lower body strength Increase upper body strength Increase core strength Shape the body Regain previous shape (e.g. after period of not training, pregnancy, injury…) Improve health and well being Improve mental healthPlease describe the body shape changes you are looking forOther goals:What specific goals you would like to achieve (select all that apply) Increase overall strength Increase lower body strength Gain muscle mass Maintain/improve health Improve physical shape and longevity Reduce impact of everyday stress Increase upper body strength Increase core strength Feel good Have fun Improve mental health Regain previous shape (ex. after period of not training, pregnancy, injury, medical condition…)Other goals:How much time can you dedicate to training?Sessions per week:Minutes per session:Are you currently recovering from an injury? Yes NoIf yes, please describe:Do you have a history of injuries? Yes NoIf 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 NoIf 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)? Learn snatch and clean & jerk Improve technique and confidence in snatch and clean & jerk Increase 1 rep max in snatch and clean & jerk Improve squat strength Improve overhead stability Improve mobility and flexibility for olympic weightlifting Develop power and explosiveness Focus on snatch Focus on clean Focus on jerkOther goals:How much time are you willing to dedicate to strength & conditioning training (outside your sport)?Sessions per week: Minutes per session:Body metricsHeight (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…)Which skill(s) would you like to learn/improveDesired physical changes? (select all that may apply) Weight loss Smaller waist Bigger posterior leg Bigger calves Thicker thighs Larger upper back Bigger arms Weight gain Bigger glutes Bigger anterior leg Thinner thighs Broader shoulders Bigger chestOther 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 workoutsOther exercise preferences:Submit Questionnaire
