PERFORMANCE INTAKE

BUILD THE
RIGHT PLAN.

This intake gives Versatile Athletics a complete picture of how you train, eat, recover and live so your program can be built around the person — not just the workout.

TRAININGNUTRITION RECOVERYINJURY HISTORYSUPPLEMENTSBMR + TDEE ESTIMATE

Questionnaire

Please answer the following questions so that we can create a workout that works for you

1. Full Name required

2. Email required

3. Phone Number required

4. D.O.B required

enter your date of birth (MM/DD/YYYY)

5. Age

6. Inperson or Online Training required

will you be wanting sessions to be inperson or online

Inperson Online

7. What is your Goal

Build Muscle Lose Body Fat Improve Athletic Performance Increase Strength Improve Mobility/ Movement Improve Conditioning Golf Performance Returning from Injury General Health Other

8. Any Current Injuries

if yes please describe in the field below if leave blank

9. Nutrition Help

Do you want help with setting up a nutrtional diet

Yes No

10. Are you currently taking any supplements?

are you currently taking anything (vitamins or proteins)

11. What days can you train Check all that apply required

what days work best for you to meet up and train

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

12. What Time works best Check all that apply required

Mornings (5am-10am) Afternoon (11am-4pm) Nights (5pm-11pm)

13. Coaching Experiance

please describe how you want your coaching experiance to be with each session

Questionnaire

Thank you