Athlete Intake Form Name(required) Email(required) Coaching Package Requested(required) Run Strength / Obstacle Nutrition Run + Nutrition Strength / Obstacle + Nutrition Run + Strength / Obstacle Run + Strength / Obstacle + Nutrition Foundering Tribe Package How did you hear about Allison Tai Coaching?(required) Do you have any injuries you are currently dealing with, or have dealt with in the past?(required) Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?(required) Yes No Do you feel pain in your chest when you do physical activity?(required) Yes No In the past month, have you had chest pain when you were not doing physical activity?(required) Yes No Do you lose your balance because of dizziness or do you ever lose consciousness?(required) Yes No Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?(required) Yes No Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?(required) Yes No Do you know of any other reason why you should not do physical activity?(required) Goals (big and little)(required) Current workout schedule (please be as detailed as possible)(required) Race and event schedule(required) How long have you been training? Please detail any previous fitness experience.(required) Do you use heart rate training? If so, do you know your zones or resting and max heart rates?(required) What do you consider to be your strengths?(required) What do you consider to be your weaknesses?(required) Please list your recent personal bests (lifts, running races results, etc.)(required) What training equipment do you have access to?(required) Are there any weekly fitness commitments that you would like to keep as we are working together (ie. group run, etc)(required) Have you read, and do you understand and fully agree to the waiver?(required) No Yes Submit Δ PLEASE READ THE WAIVER IN FULL BEFORE FILLING OUT THE FOLLOWING ATHLETE INTAKE FORM AND BE SURE YOU UNDERSTAND IT Share this:TwitterFacebookLike this:Like Loading...
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