Rank in order of importance in your current fitness journey

Become more confident/comfortable in the gym

Target specific muscle groups (shoulders, glutes, biceps, etc)

Increase mobility (functional range of motion... move better!)

What are your body composition goals? Check all that apply

Gain Muscle

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Maintain Weight

None at the moment, just want a structured plan to follow in the gym

What do you struggle with the most in terms of reaching your goal(s)?

What specific things do you look for in a coach? How can I best motivate and support you to reach your goals?

What does your daily physical activity look like outside of structured exercise? ex: daily step count, what your job entails, etc.

Outline the experience you have had with strength training.

What is your level of exposure to training?

Outline the experience you have had with strength training.

Beginner - very new to strength training, form is uncertain, not sure what to do when I workout

Intermediate - I have been strength training for a few months- a couple of years, I have a basic knowledge of strength training, form is decent but could use work, I am looking for a structured program to follow

Advanced - I have been strength training for 5+ years, I currently have a specific split I follow, and my form is solid on the majority of lifts, I'm looking to learn more and challenge myself with coaching and a tailored program

What have you worked on in the past? Who have you worked with? What have you liked doing? What have you disliked doing?

What kind of structured exercise do you currently do and how often?

What type of facility and equipment do you have access to?

Outline the type of space you can train with and the equipment you can use. Ex. I have a full gym with racks, barbells, dumbbells, kettlebells, machines, the name of the gym, etc.

How often can you realistically commit to training in your upcoming 6-week program?

2x/ week

What would like included in your program? Check all that apply

Dynamic Warmup

Mobility and Movement Preparation

Strength Training (Lifts)

Conditioning/Endurance Training

Cooldown Routine (foam rolling/stretching)

What's your health like?

What, if any, specific health concerns, such as illness, pain, and/or injuries do you have?

It is your responsibility to work directly with your health care provider before, during, and after seeking personal training. Any information provided by MICABBS FITNESS is not to be followed without prior approval from your doctor. If you choose to move forward with the information provided without your doctor's approval, you agree to accept full responsibility for your decision.

By clicking the yes button below, you're agreeing to the disclaimer and that all of the information you've provided above is accurate and up to date to the best of your knowledge.

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Yes

Why do you want to train with Mic? How do you think Mic can help you achieve your goals?

Anything else you have questions on or want addressed in your program?

Are you ready to truly invest in yourself? If you are READY, submit this form, and I will get back to you ASAP! LET’S GET AFTER IT!

1:1 Personal Training Intake Form

Let's start with the basics.

What is your first and last name?

Age?

Gender?

Height and Weight?

Email?

Phone #?

Instagram handle @? How long have you followed micabbs_fit for?

Let's dive deeper.

What is your fitness goal?

Rank in order of importance in your current fitness journey

What are your body composition goals? Check all that apply

What do you struggle with the most in terms of reaching your goal(s)?

What specific things do you look for in a coach? How can I best motivate and support you to reach your goals?

What does your daily physical activity look like outside of structured exercise? ex: daily step count, what your job entails, etc.

Outline the experience you have had with strength training.

What have you worked on in the past? Who have you worked with? What have you liked doing? What have you disliked doing?

What kind of structured exercise do you currently do and how often?

What type of facility and equipment do you have access to?

How often can you realistically commit to training in your upcoming 6-week program?

What would like included in your program? Check all that apply

What's your health like?

What, if any, specific health concerns, such as illness, pain, and/or injuries do you have?

Disclaimer

Closing Questions

Why do you want to train with Mic? How do you think Mic can help you achieve your goals?

Anything else you have questions on or want addressed in your program?

Are you ready to truly invest in yourself? If you are READY, submit this form, and I will get back to you ASAP! LET’S GET AFTER IT!