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Strong Gamer Program Intake Form

Are you able to provide me a photo/video tour of your workout space/gym? (While not a hard requirement, It helps me with program design to know exactly what kind/brand of machines or equipment you have access to, and the layout of the workout space)

I would love to show off any cool accomplishments or wins that you get while we work together. May I share some of those accomplishments and wins on social media - for example, training footage that you submit as part of the program, new personal bests, or milestones you achieve? (You can say no if you want, it's not a requirement. You can also change your answer later)

If I earn it, would you be willing to provide a testimonial regarding the program and my services? An easy to follow template will be provided.

NERDY STUFF

AVATAR CREATION

Your Avatar represents your current strengths, and also has traits that you strive for. While your Avatar is a fun way to personalize your Dashboard, it's much more than that - when you are feeling unmotivated, having a difficult time, or you 'don't feel like you have what it takes', you can 'transform' yourself into your Avatar. 'What would my Avatar do?' (AKA, 'what would the person I am striving to become do in this situation'?)
Your Avatar will be designed by a professional artist - this is the description that I pass on to them. I may add some embellishments or additional descriptors, and of course the artist will use creative liberty to fill in any gaps that you leave out.

Would you like to provide an image of yourself for the artist to use as a reference in your Avatar design? This is optional, but a fun way to make the Avatar feel more like an extension of you.

A
B

If you answered yes to the above, you may upload the image here now, or you can wait for our onboarding call and we will arrange for it then.

Would you like to come up with your Avatar's name, or would you like me to come up with a few fitting names and let you choose one of them? (You don't have to come up with it right this second.)

A
B

COMMITMENT TO SUCCESS

Can you commit to exercising 3 days per week?

How much time can you give yourself to exercise those 3 days?

A
B
C
D
E

In order to get the best results from this program, and for me to best serve you, I need you to log your workouts consistently. Your training routine will be provided to you with the rest of the program, along with clear instruction on what to do. All you need to do is log your actual workout performance (# of repetitions in each set, and weight used, if applicable). Please check the following box to agree that you will do this.

In order to get the best results from this program, and for me to best serve you, I need you to complete the Main Quests within the program. These Quests can range from written responses, to form check videos, to photos of meals, among other things. Please check the following box to agree that you will do this.

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

Please indicate if you currently have or have ever suffered from any of the following conditions:

Please indicate if you currently receive medical care or if any of the following affect you: