remote training request form
so glad you’re here + interested in getting on a remote training program.
this form should take about 20 minutes — thanks in advance for taking the time to fill it out.
it’ll help us get to know you + your goals, so Lauren can customize this experience to you.
programs start at $500/month + include daily programming + communication with your coach Lauren. if you're interest in virtual sessions, those can be added on.
once you submit this form, we’ll review everything + get back to you within a day or two with next steps.
any questions — you can
email Lauren directlywhat is your preferred method of communication?
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what is your preferred method of communication?
how did you find out about us?
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what is your current workout routine like?
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what is your current workout routine like?
what are your favorite ways to move?
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what are your favorite ways to move?
do you have experience working with a personal trainer?
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how often are you planning to train?
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what are you looking to achieve?
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what are you looking to achieve?
do you feel you need help setting goals?
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has there been a recent change in your life that has led you to commit to your health + fitness?
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have you, up until this point been able to achieve any of the fitness goals you've set for yourself in the past?
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what is your current level of motivation?
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are you motivated by metrics? does seeing progress in numbers like your weight, body fat percentage, etc. help you stay motivated?
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how would you like to track your progress? check all that apply.
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how would you like to track your progress? check all that apply.
how many days per week do you plan on committing to training (in the gym session)? try to make a realistic estimation.
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preferred rest days — let me know if there are any days of the week you will not be able to complete a workout or would prefer not to train
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preferred rest days — let me know if there are any days of the week you will not be able to complete a workout or would prefer not to train
how much time do you have to dedicate to each training session?
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best days of the week to schedule your training sessions? check all that apply
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best days of the week to schedule your training sessions? check all that apply
which statement fits best? current routine
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which statement fits best? training experience
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my cardiovascular workouts consist of: check all that apply
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my cardiovascular workouts consist of: check all that apply
specific + notes: include duration, frequency, and set/rep scheme for each type of exercise
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my strength training workouts consist of: check all that apply
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my strength training workouts consist of: check all that apply
specific + notes: include duration, frequency, and set/rep scheme for each type of exercise
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I plan to continue to participate in: check all that apply + we will work these into your programming
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I plan to continue to participate in: check all that apply + we will work these into your programming
how many classes per week would you like to maintain? feel free to provide a range if you're unsure
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class specifics: if you have a regular class time or schedule you would like to incorporate or maintain as part of your routine — please provide as much detail as possible
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sleep habits: check all that apply
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sleep habits: check all that apply
I believe that a certain level of stress is necessary for a productive life
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my stress levels are well manage and rarely elevated
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I have tactics to lower my stress levels if they begin to elevate
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most of my stress is unavoidable and due to my job or life
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I use coping mechanisms to deal with, lower and escape from my stress
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do you regularly skip meals?
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how many times do you eat per day?
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there's room for improvement in regards to my diet
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I believe that I eat a healthy, well-rounded diet
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I place restrictions on my food choices and portions
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I eat well during the week and things go south on the weekends and when I've been drinking
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I only eat when I'm hungry
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I view food mainly as a source of pleasure and enjoyment
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I feel out of control of my habits in regards to nutrition
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I often feel sluggish, stuffed, and uncomfortable because of the foods I choose to eat
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I eat a healthy diet but find myself struggling with sweets and dessert
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I have a good understanding of how much food I should be eating per meal and what a serving size looks like
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I have a good understanding of the differences between the three types of macronutrients and what each does for my body
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I use food and alcohol consumption as a reward for myself
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I find myself regretting food choices after I make them
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I often experience cravings for certain types of food that feel so strong I have trouble ignoring them
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would you be open to keeping a food log?
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would you like some dietary guidance?
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would you like some dietary guidance?
do you follow any special diets? check all that apply
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do you follow any special diets? check all that apply
I acknowledge that all Remote Training requires a minimum commitment of 3 months.
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I acknowledge that all Remote Training requires a minimum commitment of 3 months.
I acknowledge that all virtual training sessions are subject to availability and require a minimum of 24-hours notice to reschedule.
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I acknowledge that all virtual training sessions are subject to availability and require a minimum of 24-hours notice to reschedule.
If I have specific questions or problems regarding the policies and need special attention or an exception to be made, I will feel comfortable reaching out to discuss my options.
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If I have specific questions or problems regarding the policies and need special attention or an exception to be made, I will feel comfortable reaching out to discuss my options.
Is there anything else you would like me to know before processing your intake information?
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blood pressure (if unknown, leave blank)
resting heart rate - to calculate: while seated in a rested state, place your pointer and middle finger on thumb-side of the inside of your opposite wrist. set a timer for 10 seconds and count the number of beats you feel and multiply by 6.
how would you describe your current general health and injury status?
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how would you describe your current general health and injury status?
notes: please outline any specific injuries/illnesses from the past and present
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have you had a heart condition?
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have you had a heart condition?
do you experience discomfort in your chest (during exercise or not)?
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do you experience discomfort in your chest (during exercise or not)?
do you experience unreasonable breathlessness?
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do you experience unreasonable breathlessness?
do you experience dizziness, fainting, or blackouts?
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do you experience dizziness, fainting, or blackouts?
do you experience any of the following conditions?
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do you experience any of the following conditions?
do you take any of the following prescription medications?
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do you take any of the following prescription medications?
specific prescriptions: some medications come with side effects that can potentially alter your natural abilities to lose/gain weight and alter your aesthetic performance
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are you pregnant or looking to become pregnant?
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are you pregnant or looking to become pregnant?
do you know of any other reasons that you should not participate in physical activity?
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have any immediate family members experienced the following? check all that apply
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have any immediate family members experienced the following? check all that apply
do you currently smoke cigarettes?
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do you currently smoke cigarettes?
If so, how many per day?
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were you a cigarette smoker in the past?
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were you a cigarette smoker in the past?
if so, when did you quit?
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how many years had you smoked before quitting?
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check all supplements that you regularly take
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check all supplements that you regularly take
have you ever experienced dramatic weight loss or weight gain? +/- 15lbs or more in less than 3 months
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have you ever experienced dramatic weight loss or weight gain? +/- 15lbs or more in less than 3 months
if so, when did this occur? were you able to return to your normal weight?
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is there any additional information pertaining to your health that you would like me to be aware of before we proceed?
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