Online Powerlifting Coaching Application

Please take the time to fill out the new client application of your choice if you are interested in online powerlifting coaching with Volition Fitness.  All applications are reviewed in order received and are screened for completeness and detail.  Volition Fitness reserves the right to refuse service to anyone, for any reason, at any time.  Due to the physical nature of personal training, extensive pre-screening includes health questionnaires and physical assessments before a client is approved for training. You may be waitlisted upon request.

Your Contact Info

Name *

First

Last

Email *

Phone *

Preferred Contact Method *

• Call
• Text
• Email

Best Time To Contact You:

Timezone:

Coach Preference

• Chris
• Brianne
• Rachel
• April
• Grady
• Roman
• No Preference

Health Prescreen

Age

Weight Class

Enter your known or desired weight class for your desired federation. Leave blank if unknown.

Have you ever been diagnosed with a heart condition?

• Yes
• No

Do you ever experience chest pain, dizziness, loss of balance or loss of consciousness?

• Yes
• No

Do you have any bone or joint problems that would interfere with an exercise program?

• Yes
• No

Is there any other health reason you may not be able to participate in an exercise program?

• Yes
• No

If you have answered "yes" to any of the above, please explain:

Your Goals

Please explain your short-term (6-12 weeks) & long-term goals (greater than 12 weeks). Please be as specific as possible. Applications are screened for completeness, detail, and general understanding of realistic expectations for time invested:

Your Current Program

If you are not currently training, please leave these fields blank or explain previous training programs.

Please explain your current resistance training program:

Please be as detailed as possible. Include frequency(training sessions per week), intensity (as percentage, RPE [rating of perceived exertion, or simply a 1-10 scale of effort), or RIR [repetitions in reserve]), & time trained per session. Also include general rest periods, tempos used, sets to failure, and advanced training methods (supersets, giant sets, drop sets, etc.).

Please explain your current conditioning program:

Please be as detailed as possible. Include frequency(training sessions per week), intensity (as percentage, RPE [rating of perceived exertion, or simply a 1-10 scale of effort], or heart rate [or percentage maximum]), & time trained per session. Also include interval method, if used (ie, 1m on, 1m off, tabata-type, etc).

Please explain your current nutrition intake:

Please be as detailed as possible. Include caloric intake, macronutrient breakdown (as percentages, g/lb, etc.), meal timing, typical foods consumed (with high frequency), allergies, sensitivities, and all other relevant data.

Please explain your current supplement intake.

Include supplement ingredients only (ie, creatine monohydrate), not brand names.

Submit

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