ET4A - Elite Training For Athletes

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"I simply can't believe what a dramatic change 4 WEEKS of training with ET4A could make. The training is exciting, different, challenging and the short story is I feel stronger than I ever have. I think this is the most injury free that I have been in years. Thanks for everything Coach! We make a great team and I'm looking forward to even more PR's!"

- Gary G.

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Account Information
Full name:
Email:
Username:
Password:
Repeat Password:
Mailing Address:
City:
State:
Phone:   (555) 555-5555
Date of Birth:
Gender:
Weight: lbs     OR     kg
Height: feet   inches     OR     cm
Occupation:
Goals and Training History
1. Choose your top goals from the list below and date you wish to achieve it:
Improve Competion Performance:  
Improve Endurance:  
Improve Strength:  
Improve Speed:  
Improve Recovery:  
Improve Nutritional Habits:  
Improve Flexibility:  
Improve Muscle Tone/Shape:  
Improve Muscle Mass:  
Lose Weight:  
Reduce Stress:  
Increase Energy:  
Injury Prevention:  
2. How much time can you train each day (in hours):
Sun:
hrs 		Mon:
hrs 		Tues:
hrs 		Wed:
hrs 		Thur:
hrs 		Fri:
hrs 		Sat:
hrs
3. How many hours per week are you training already?
Running: hrs Jogging: hrs Walking: hrs
Weight Training: hrs Swimming: hrs Cycling: hrs
Yoga/Pilates: hrs Aerobics: hrs Other: hrs
4. List 2 or 3 things you have liked and disliked about your current and past training.
5. Give any additional information about yourself, your goals, or past history that you think could be useful for your coach designing your training program.
Health Questionnaire
1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? Yes     No
2. Do you feel pain in your chest when you do physical activity? Yes     No
3. In the past month, have you had chest pain when you were not doing physical activity? Yes     No
4. Do you lose your balance because of dizziness or do you ever lose consciousness? Yes     No
5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? Yes     No
6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? Yes     No
7. Do you know of any other reason why you should not do physical activity? If yes, please give details Yes     No
 
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