ATR Custom Programming Intake Form
This is your intake form for Above the Rest Training Systems. This might take a while, but the more effort you put into this form, the better your training program will be.
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Basic Information
Let's get some basic info down to get started.
First Name
Last Name
Age
Phone Number
Where are you from?
City, State, Zip Code
Current Body Weight
What has your body weight done over the last three months or so
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What would you guess is your body fat percentage?
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Training History
Tell me a about your recent history with your strength training.
How long have you been strength training?
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Please tell me about about your athletic career thus far.
Include sports you've competed in, how long you competed in them, and any strength and conditioning work you were doing along the way.
What competitions have you participated in over the last 3 years? How did you do in each? Do you have a link to the results?
What Training Programs Have You Run in the Past? Did they work for you? Do you have any specific results you can mention?
Have you worked with any coaches in the past? If so, who? What did you like? What didn't you like?
Aches, Pains, and Injuries
I want to know more about you specifically in this section.
Are you dealing with any small nagging injuries right now?
Nagging pains like tight muscles, sore joints, etc.
Do you have any bigger, more long term injuries you deal with?
Any recent surgeries? Muscle tears? Broken Bones? Back Injuries?
Have you been diagnosed with anything specific by a doctor, physical therapist or chiropractor?
Are there any exercises that tend to cause you pain, and that you intentionally steer clear of?
Any other medical conditions that you feel I need to know about?
If it is something unique, please provide enough information that I can understand.
Can you tell me about where you're training?
An understanding of where you're training will help me to understand what equipment I have to build your program.
What is the name of the gym you train at most of the time?
Does your gym have a website?
What is the address of your gym?
What kind of gym is it?
What is Your Availability to Train?
Tell me about your schedule
What Days Are You Available to Train?
How many hours per session can you train?
Do you have more time on certain days than others?
Do you have to train outside of this program for anything?
Do you have PT for the military? Or other training you have to do for work?
Tell me a bit about your life.
The stress from your life adds to the stress from training, so its important to know what your life is like outside of the gym.
What do you do for work?
Who do you work for? What do you actually do in your job?
How many hours a week do you wind up working?
If you do shift work, outline that here.
How difficult would you say your work actually is?
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Do you have a significant other?
Dating? Engaged? Married? It's complicated?
Kids?
Children? Step Children? Ages? Involved in sports? Other extra curricular activities that your schedule will have to work around?
Is there anything else going on in your life on a relatively consistent basis that could cause you stress that would need to be accounted for?
For the following exercises can you please enter your training max.
Enter the weight, the number of reps, and when you set the max. If you don't have this max, you can either enter a comparable max or leave the entry blank. If you feel that the lift is irrelevant to your training goals, feel free to leave it blank.
Deadlift
Back Squat
Bench Press
Standing Strict Overhead Press
Push Press
Front Squat
Clean
Clean & Jerk
Snatch
Log Press
Continental Clean and Press
Stone Loading
Sandbag Loading
Any other relevant bests?
Any big accomplishments in Strongman Events? Personal Bests with unique bars? Personal Achievements you're proud of?
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