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THE BLUEPRINT: Performance Application

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Welcome! This is the first step in your BLUEPRINT evaluation process. This form helps us understand your goals, background and schedule your Athletic Performance assessment.
Once completed, a member of our team will contact you to secure your session time.

Full Name

Age

Sport(s) & Position(s)

Current School/Organization

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email

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How many days per week are you currently training?

How many days per week are you currently training?
A
B
C
D

Where do you currently train?

Have you ever done performance-based training (speed, strength, mobility)

Have you ever done performance-based training (speed, strength, mobility)

If 'Yes', describe the style of training you've done before?

What are your top 3 goals for training?

What is the #1 skill or area you feel is holding you back right now?

What would success look like for you 3 months from now?

Do weekends work best for your assessment

Do weekends work best for your assessment
A
B
C

Time Preference

Time Preference
A
B
C
D

Are you available for your 60-75 minute assessment at Axis Fit & Nutrition Longview?

Are you available for your 60-75 minute assessment at Axis Fit & Nutrition Longview?
A
B

Do you currently have any injuries or movement restrictions we should know about?

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Rate your nutrition consistency? (3+ real meals per day)

Rate your nutrition consistency? (3+ real meals per day)
1 - Needs Improvement
10 - Very Consistent

Rate your sleep and recovery (7-9 hours of sleep per night)

Rate your sleep and recovery (7-9 hours of sleep per night)

How would you describe your current confidence level in athletic ability?

How would you describe your current confidence level in athletic ability?

Are you ready to discover THE BLUEPRINT for your athletic development over the next 90 Days?

Are you ready to discover THE BLUEPRINT for your athletic development over the next 90 Days?
A
B
Awesome! Once we review your form, we will contact you to secure your session time. This process works best when you're committed to pursuing peak athleticism!

How did you hear about us?

How did you hear about us?