Form cover
Page 1 of 1

THE CRUCIBLE - Intake Form

Full Name

Email

Phone Number

Where are you based?

In a sentence or two, what does a complete transformation mean for you? (I.E. The end-state you want in six months: performance, physique, health, or all three.

Why now? (Any deadline, event, or turning point driving the timing?)

Where's your training right now?

How many days a week can you realistically train?

A
B
C

This runs as a focused six-month block. Can you commit to that?

A
B
C

The program is built around blood work and diagnostics with a performance physician. Are you comfortable with that? (We're not asking for any health details here, we're just checking it's something you're open to?)

A
B
C

This is a premium investment, confirmed at your consult. Where are you?

A
B

When are you looking to start?

A
B
C

Anything else we should know?

How did you hear about Ironberg?

Consent