ABOUT
MEET THE TEAM
ID TESTIMONIALS
OUR COMMUNITY
JOB OPPORTUNITIES
GET STARTED
Book A Free 3-Day Trial
MEMBERSHIP
Nutrition Challenge Sign Up
TIMETABLE
What We Do
CrossFit and Functional Fitness
Olympic Lifting
Workshops, Competitions and Events
INDIVIDUAL DESIGN
ID TESTIMONIALS
JOURNAL
WOD
BLOG
MEMBERSHIP HOLDS
CONTACT
FREE TRIAL
Intake Form
Individual Design
Name
*
First
Email
*
Date of birth
*
Age
*
Contact number
*
Today's date
*
Body weight
*
Height
*
Body fat %
Target body weight:
Crossfit region (if applicable)
What are your long-term goals?
Select weekly training schedule
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many training sessions do you complete a day?
Number of training sessions a week
What experience do you have in training and sports?
Current or past medical issues
Please list all current or past traumatic injuries, sports or non sports related
Do you have any known allergies to medications or enviornment?
Are you taking any perscribed medications?
*
Yes
No
If yes, please fill in below.
Are you taking any over the counter nutritional supplements? (Protein powder, vitamins, minerals, probiotics, etc.)
*
Yes
No
If yes, please fill in below.
Current occupation?
What is your current work schedule?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Average hours per week
How many hours of sleep do you get per night?
What time do you fall asleep?
Please rate your sleep on a scale from 1-10, 10 being the best
Please enter a value between
1
and
10
.
How many times a year are you sick?
Briefly describe your daily energy levels
Rate overall stress level 1-10, 10 being the most stressed
Please enter a value between
1
and
10
.
How many bowel movements do you have a day?
Do you have problems with gas or bloating?
*
Yes
No
Please describe your menstrual cycle? (Females only)
You understand that you are entering a 6-month (minimum) commitment?
*
Yes
No
You understand that breaking a contract will require a cancellation fee?
*
Yes
No
You understand that being put on hold will be added to the end of your contract?
*
Yes
No
Signature
*
This iframe contains the logic required to handle Ajax powered Gravity Forms.