First Name
Last Name
Preferred Pronouns:
Email
Phone Number:
Instagram Handle:
How did you find out about us?
GOALS: What are your primary fitness/lifestyle goals right now? Please list them in order of priority:
REASON: In a sentence or two, what are you hoping to get from NOVA Functional Training? Be as specific as you can:
EXERCISE/ACTIVITY LEVEL: Which describes you best?
You are virtually sedentary, which may be for a variety of reasons: a lack of interest or desire to work out, recovering from surgery, prolonged illness, etc. If you don’t partake in strenuous activity at all during the week, this is you. A lot of grad students tend to get stuck in this category! You train less than 5 hours a week. If you make it to the gym a few times a week and train no longer than an hour, you will most likely fall into this category. Moderately active. You train 5-10 hours a week. This or the previous category usually fit if you’re an avid gym-goer. Example: You go to the gym during the week for a little over an hour a day and remain relatively active on the weekends. You train 10-15 hours a week, either as longer sessions done 5-6 days a week or perhaps more than one exercise session per day, teaching multiple fitness classes daily, etc. Those really dedicated to fitness, various modes of exercise, or are training for a specific sport/event usually fall into this category. You train 15-20 hours a week. Typically in-season competitive athletes, people prepping for a meet/competition whose increased training volume warrants a higher multiplier and people who train twice a day fall into this category. Many competitive functional fitness athletes, power-lifters, Olympic weightlifters, and strongmen will find themselves here. You train over 20 hours a week for a particular sport. These are typically going to be elite endurance, performance, and strength athletes.
NEAT LEVEL: Outside of the gym/training, how active are you daily?
Minimal (sitting mostly) Moderate (on feet most of the time, standing, walking, etc) Very (on feet all day, walking, lifting, construction, hard labor, fitness coach, etc.)
PROGRAMS: What other programs (if any) have you previously purchased, attempted, or completed?
If you've tried another program before, how was it? Did you have a good experience? Likes? Dislikes? This includes previous coaches.
TRAINING HISTORY: What’s your background with sports, exercise, and training?
INJURY: Please list any previous or current injuries (exercise-related or not) and/or any pre-existing conditions.
NUTRITION: How do you feel about your nutrition? What struggles have you had? What strategies have you tried before?
SLEEP: How many hours of sleep do you get a night?
OCCUPATION: Describe your job:
RX: Are you taking any prescriptions medications?
LOCATION: Where will you be working out?
EQUIPMENT: What do you have access to?
FREQUENCY: How many times a week would you prefer to train?
DURATION: How long could each daily training session be?
WORKOUTS: What kind of workouts do you typically enjoy?
LIKES: What are some movements, protocols, etc. which you DEFINITELY want to be included in your program and/or like doing?
NO THANKS: What are some movements, protocols, etc. which you’d prefer NOT to do?
STARTING: When can you start?
Submit
