Strength & Performance Assessment Intake
This 1 hour assessment will identify your movement limitations and help me understand exactly what kind of strength programming you will need to fill in those gaps, optimize your running/walking gait, balance out your asymmetries, and train to move more freely by the day. You'll walk away with custom video instruction of the exercises your body needs specific to your goals and my professional training recommendation to put you on the path towards them.
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Email *
Name *
Gender *
Date of birth *
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Height and weight? *
What are your training goals? What do you want to get out of our time together? *
How many days are you currently training per week? How many running miles, cardio intervals, etc? Which strength exercises, weights, sets & reps are you doing and how are you planning it out? *
Wear anything BUT black when filming the following Assessment videos. Men: shirtless, in shorts. Women: in a sports bra and shorts. If that's too uncomfortable for you, you may wear tight fitting clothes that contrast your background/lighting. *IF YOUR SELFIE CAM RECORDS IN MIRROR VIEW PLEASE LET ME KNOW - I need to see LEFT and RIGHT sides correctly*
Gait Assessment - make sure I can see you from head to toe, barefoot. Do this in a long space where you can walk freely on a FLAT surface, ideally with good lighting and hard floor (not carpet).
Toe Touch Assessment - taken with feet together, toes pointing forward. Make sure I can see you from head to toe (barefoot) for all 3 angles
Squat Assessment - taken with feet HIP WIDTH APART, toes pointing forward. Make sure I can see you from head to toe (barefoot) for all 3 angles, on a hard floor rather than carpet.
What equipment do you have available at home/at your gym? (weights, mats, bands, yoga blocks, foam roller, med ball, TRX, box/steps, bench, chairs, etc.) **Send photos of your equipment, open wall space, training room, etc.** *
Please list any previous injuries, current discomforts (L or R sides), medical conditions/medications (even if you've already mentioned them verbally, please provide as much detail in writing for my reference): *
Which days & times do you typically train during the weeks? *
Thanks for this info! It will help me help you and maximize our time together. Be sure to send me all photos & videos NO LATER THAN the day before your scheduled assessment so I can review them, take notes and prepare. I'm looking forward to helping you out and will email you next steps!
A copy of your responses will be emailed to the address you provided.
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