Coaching Questionnaire – Shack Strength

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Your Name:

First

Last

Age:

Weight:

Height:

Biological Gender:

Estimated Body Fat Percentage:

What does your current diet look like?

What is your monthly budget for food?

Do you have any dietary restrictions?

Are there any foods that you don't like or won't eat? If so, what are they:

Where do you get your food from? Grocery store (which ones), College Dining Hall, Military DEFAC, etc:

What are your favorite foods? Or food you can’t live without:

What is your biggest obstacle when it comes to nutrition? If there are multiple causes, please list:

How long have you been training and what does your current training look like? (copy)

What kind of equipment do you have access to? What kind of gym:

Do you have any previous injuries or issues that could affect your lifting? If so, what are they:

What is your biggest obstacle when it comes to training? If there are multiple causes, please list:

What is your current 1 Rep Max for Deadlift: (skip if unknown)

What is your current 1 Rep Max for Squat: (skip if unknown)

What is your current 1 Rep Max for Push Press/Strict OHP: (skip if unknown)

What is your current 1 Rep Max for Bench Press: (skip if unknown)

Where are your weak points/sticking points on those lifts:

Are there any exercises you would choose to stay away from:

What is your favorite exercise:

Are you training for a specific competition or event? If so, which one:

What are your goals? Please be specific:

Additional comments or questions:

Your Email Address