About you
First name required
Last name required
Email required
Mobile required
Date of birth required
Where are you based? required
Select one
Sydney, near the CBD clinic
Sydney, near Norwest
Greater Sydney, further out
Elsewhere in NSW
Elsewhere in Australia
Outside Australia
Emergency contact name and number
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Your sport
Primary sport or activity required
Position, event or discipline
Level you compete at required
Select one
Recreational, no competition
Club or social competition
Representative or state
National
International or professional
Where are you in your season? required
Select one
Off season
Pre season
In season
No fixed season
Next competition or event date
Training age, how long have you lifted consistently? required
Select one
New to structured strength training
Under 12 months
1 to 3 years
3 to 5 years
5 years or more
What do you want out of the next four weeks? required
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Health and screening
Answer these honestly. A yes does not stop you training, it tells your coach what to check and
whether one of our clinicians should look at something before we load you up.
Injuries in the last two years, and how they were managed required
Anything sore or restricted right now? required
Are you currently seeing a practitioner for it?
Select one
No
Yes, a physiotherapist
Yes, a chiropractor
Yes, a doctor or specialist
Yes, someone else
Have you had surgery in the last two years?
Pre exercise screening
Has a doctor ever told you that you have a heart condition, or have you had a stroke?
Select No Yes
Do you get chest pain at rest, during daily activity, or during exercise?
Select No Yes
Do you lose balance from dizziness, or have you lost consciousness in the last 12 months?
Select No Yes
Do you have a chronic medical condition such as diabetes, asthma, high blood pressure, epilepsy or a bone or joint condition?
Select No Yes
Are you currently pregnant, or have you given birth in the last 12 months?
Select No Yes Prefer not to say
Is there any other reason you should check with a doctor before increasing your physical activity?
Select No Yes
Thanks for telling us. One of our clinicians will review your answers before your assessment and
will talk it through with you on the call. Keep going and book your time as normal.
Medications or supplements worth us knowing about
Anything else you want your coach to know?
I confirm the information above is accurate. I understand this program is strength and
conditioning coaching, not individual clinical advice or a diagnosis, and that I should stop
and seek advice from a health professional if I experience pain or symptoms during exercise.
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