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The Programme Intake Form

Your full name

Email

Your age, where you are based & timezone

Which coaching Program

A
B
C

Where will you train? Fully equipped gym / Home setup / Both / Currently nothing, please advise (Name and gym location to, if selected)

If home setup please list all your equipment

Your training over the last 2 years. What did you do? How often? How consistently? Any other specifics

Any injuries, surgeries or areas that complain under load, past or present?

Walk through a normal working day: wake time, work pattern, meals, evening, bed time

Most nights I sleep: Under 6 hours / 6 to 7 hours / 7 to 8 hours / Over 8 hours

Describe how you currently eat, no judgement, just the truth of an average week

What has made this the moment you start? There is usually one honest reason underneath the general ones

Supplements & Medicines. List everything you take, doses and frequency

Blood Tests. When last tested, what was tested, any flags. Regular panels or none at all, just state it as it is

Recovery & Longevity Modalities. Tick all you use

Across everything you tried what has genuinely moved the needle for you

What was invested in, coaches included, that did not deliver, and what was missing

Which parts of your protocol do you most want taken off your plate, and where do you want to stay hands on

Define Success: Twelve months from now, what has to be true for this to have been one of the best investments made