Client Intake Form Template for Powerlifting

Use in FirstRep form

Personal Information

Gathering personal data helps tailor the program to the lifter's needs.

Aa Name *

Enter your full name

# Age *

Enter your age

v Weight Class *

Select your weight class

Training History

Understanding past training helps in designing an effective program.

# Years of Experience *

Enter years of training experience

... Previous Competitions

List past competitions and results

Aa Best Lifts *

Enter your best squat, bench, and deadlift

Goals

Setting clear goals ensures a focused training approach.

... Short-term Goals *

Describe your short-term lifting goals

... Long-term Goals *

Describe your long-term lifting goals

D Competition Date

Select your next competition date

Current Challenges

Identifying challenges helps in creating a solution-oriented plan.

... Fatigue Management

Describe any issues with fatigue management

... Technique Breakdown

Describe any technique issues at high percentages

Y/N Weight Class Concerns *

Nutrition and Recovery

Nutrition and recovery strategies are crucial for optimal performance.

... Current Diet

Briefly describe your current diet

... Supplement Use

List any supplements you currently use

1-10 Sleep Quality *

Rate your sleep quality

Meet Day Strategy

A solid meet day strategy can enhance performance and manage stress.

... Warm-up Routine

Describe your warm-up routine

Aa Opening Attempts *

Enter your planned opening attempts for each lift

... Mental Preparation

Describe how you prepare mentally for meets

Why Use This Template

Comprehensive Assessment

This form provides a detailed overview of the lifter's history and goals.

Individualized Programming

Use the information to create personalized training and nutrition strategies.

How to Use

Distribute the form to new clients before their first session.

Review the completed intake forms to identify key focus areas.

Customization Tips

Adjust field placeholders to better suit your coaching style.
Add specific questions based on the lifter's experience level.
Include additional sections for injury history or specific athletic backgrounds.

Build and send powerlifting templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How long does it take to fill out the form?

Most clients complete the form in about 15-20 minutes.

Can I modify the form?

Yes, feel free to customize any section or field to better suit your needs.