BarbellSTRONG Coaching Application | Barbell Pilates with Trish DaCosta

BarbellSTRONG Coaching Application with Trish

First of all, take a moment to celebrate this significant step in changing your life for the better 🙂 By filling this out, you're saying "I and willing and ready for change," and that's huge. Second, fill this application fully and as honestly as possible. Once I've had a chance to review, I'll reach out via email to set up a quick discovery call. If BarbellSTRONG coaching is right for you, we'll proceed with next steps and get you started!

Name *

First

Last

Email *

What's the biggest change you want to make in the next 3-6 months fitness & health-wise? *

What are your goals/expectations for coaching? Do you have any questions for me? *

Please list any important information about your medical history. For example, any surgeries you've had in the last 7 years, physical limitations, medications, or eating disorders. Be specific. *

On a scale of 1 (poor) to 10 (excellent), how would you rate your satisfaction with your current physical activity level? *

Please list any/all fitness equipment you own and/or fitness memberships you have. *

Do you have any specific performance goals for the next 6 months? *

Realistically, how many DAYS and HOURS can you devote to your fitness for the 1st month? (Please take into account any travel you have going on, work priorities, or other life matters. Be honest) *

On a scale of 1 (poor) to 10 (excellent) how would you rate your energy level? *

On a scale of 1 (poor) to 10 (excellent), how would you rate the quality of your sleep? *

On a scale of 1 (lethargic) to 10 (bright eyed, high energy), how would you rate your general stress level?

Your current height and bodyweight? If you know your current body fat percentage, please add that as well. *

What specific outcomes are you looking for from this coaching experience? Please describe in detail.

Please list your 1 rep max (or the heaviest you've lifted) in the past 6 months for the: Squat, Deadlift, Bench Press, Pull-ups (total amount), and/or Strict Press. If you don't know, just write "I don't know"

Are you comfortable with filming your lifts and uploading them for me to see? *

Yes
No
Not sure

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