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WOLVES
ONLINE CHECKIN FORM
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Thank you for using our digital intake form. Don't worry, it only takes 5-10 minutes. You will give us the information we need to best prepare for our upcoming interview. Please fill in all fields as accurately as possible and confirm at the end of the form that all information is true.
Personal Data
First Name
*
Surname
*
Adress
*
ZIP + City
*
Date of Birth
*
Telephone
*
E-Mail
*
Weight in kg
Height in cm
Target weight in kg
Body fat percentage (bfb%)
Continue with your training and your goals ...
2. Your Training, your goals
2.1 Why do you want to start working with a wolves coach?
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2.2 Name your long term development goals (prioritize)?
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1./2./3./...
2.3 What is your current exercise pattern (your regular training days)
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MON
TUE
WED
THU
FRI
SAT
SUN
2.4 How many sessions are you doing in one training day?
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1
1 - 2
2
2 - 3 and more
2.5 How many hours do you spent working out each day?
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1 h
1 - 2 h
2 h
2 - 3 h and more
2.6 If you would rate yourself, you are a ...
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Beginner
Intermediate
Advanced
2.7 For how long are you working on your fitness? (Strength/Endurance/Skills)?
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1 - 3 years
3 - 6 years
6+ years
2.8 I can perform at least one perfect rep of the following movements:
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Back Squat @BW
Overhead Squat @50% BW
Deadlift @BW
Strict Press @50% BW
Snatch @70% BW
Clean & Jerk @BW
Strict Pull Up
Strict Toe to bar
Strict Handstand Pushup
Strict Dip
Bar Muscle Up
Ring Muscle Up
Handstandwalk
Double Under
NONE OF THEM
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Next step is the sport background intake ...
3. Sport background intake
3.1 What sports are you doing / did you do? For how long? How often?
*
Back
Next step is the medical intake ...
4. Medical intake
4.1 Past or current injuries or general health related issues
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4.2 Are you allergic to certain foods, seeds, whatever ...?
*
Are you taking any prescriptions? If yes, what are these?
*
Back
Next Step is the nutrition and lifestyle intake ...
5. Nutrition and lifestyle intake
5.1 Do you take supplements? If yes, which?
*
5.2 Current job
*
5.3 a What are your regular working days?
*
MON
TUE
WED
THU
FRI
SAT
SUN
5.3 b How many hours are you regularly working a week?
*
less than 20h
20 - 25h
25 - 30h
30 - 35h
40h or more
5.4 How many hours are you sleeping on average?
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5h or less
6 -7h
7 - 8h
8 - 9h
9h or more
5.5 When do you go to bed?
*
5.6 Rate the quality of your sleep
*
10 (very good)
9
8
7
6
5
4
3
2
1 (very poor)
5.7 How often are you sick in an average year (short description please)?
*
5.8 Describe your energy levels throughout the day
*
5.9 Rate your general stress
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10 (very much)
9
8
7
6
5
4
3
2
1 (none)
5.10 How many bowel movements do you have per day?
*
0 - 1 x
1 - 2 x
2 - 3 x
3 x or more
5.11 Describe your menstrual cycle (women only, of course)
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Next is the conclusion ...
Miscellaneous and conclusion
Falls ich etwas vergessen habe oder Du mir etwas mitteilen möchtest, kannst Du es hier gerne los werden
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