Powerlifting Questionnaire Name * First Name Last Name Email * Phone Number * (###) ### #### Age * Gender * Male Female Height * T-Shirt Size * XXS XS S M L XL XXL XXXL Social Media Handles (Instagram, Facebook, YouTube, Etc.) * Current Bodyweight/Desired Weight Class * One Rep Max for Squat Preferred Bar Position for Squat * High Bar Mid Bar Low Bar I Don't Know One Rep Max for Bench Preferred Grip for Bench * Narrow (Shoulder Width or Narrower) Medium (Just Outside Shoulder Width) Wide (Index Finger on or Near First Ring) I Don't Know One Rep Max for Deadlift Preferred Stance for Deadlift * Conventional Frog Stance Sumo Wide Sumo I Don't Know Days of the Week You're Unable to Train? * Sunday Monday Tuesday Wednesday Thursday Friday Saturday What Does Your Training Split Currently Look Like? * On Average, How Many Hours do you Sleep a Night? * Have you Ever or are you Currently Taking Any Steroids or SARMS? * Yes No From your Personal Assessment, What is the Most Significant Hurdle Preventing you from Accomplishing your Goals? * In What Time Zone do you Train? * Are you Planning to Compete in a Powerlifting Meet Within the Next 12 Months? * Yes No Have you Ever Competed Before? If so, When? * If the Above Answer is Yes, What are your Best In-meet Lifts? And in What Weight Class? Have you Ever Worked with a Coach Before? * Yes No Thank you!
