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Your starting point
Indicate feet/inches or cm
Indicate lbs or kgs
Body fat percentage
Indicate method used.
At nipple line. Please indicate inches or cm
At navel. Please indicate inches or cm
At widest part. Please indicate inches or cm
Please provide City & State / City & Country
What are your goals?
Please describe you primary short- and long-term goals in regards to movement ability, body weight/body composition, lifestyle and performance. Please indicate here if you have any special circumstances, for instance if you are preparing for a certification, overcoming a specific injury, etc.
Are you currently preparing for any competitions (in any sport)?
What is your occupation and work schedule? How much time per week do you have available to train (i.e, any major time constraints)? What is your current training schedule during the week?
Your movement and sleep habits
What are your daily non-exercise movement habits?
For example – Are you in a car for a long commute to work each day? Do you have a desk job or a job that involves manual labor all day? How often are you sitting on the floor?How often are you walking, going up stairs, carrying loads, etc?
Will you be training predominantly at/near your home, at a gym, or other?
Please let us know where you plan on training most of the time if “other.”
Do you plan to perform your practice sessions outdoors?
If you plan on training outdoors on a consistent basis, please let us know how frequently, plus what type of climate and environment you live in.
What type of movement equipment (weights, surfaces to hang on, balancing surfaces, etc) do you have access to?
What type of shoes do you wear on a daily basis? At home? For training?
How many hours of sleep do you get per night on average? How is the quality of your sleep?
Your past & present
Please describe your structured training history, if any. If on a current program, please provide the last 2 weeks of your training log below.
What type of obstacles do you think could potentially make it difficult for you to reach your goal?
Examples: Lack of support, busy schedule, injury, etc.
Injuries & medical history
Please list any current or previous injuries, surgeries, and any residual limitations you have. It would be a good idea to review a PAR-Q document such as this one to be certain you aren’t forgetting any limitations your coach should know about.
Please list any supplements and medications you take.
What does a typical day of eating look like for you on training days and non-training days? Is your eating impacted by your work schedule and/or environment? If so, please elaborate.
Where did you hear about us?
MovNat Event (workshop / certification)
Google / Internet Search
Referral from MovNat Leadership
Referral from MovNat Trainer
Please include any other pertinent information, concerns, or questions you have and we'll get to work!