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**Availability for new clients is limited. Before filling out the intake form, please contact to confirm availability. Email: dylan@uncommonstrength.net

Personal Info

Name *

First

Last

Email *

Phone *

Best time of day to be reached by phone *

How did you find Uncommon Strength? *

Goals

Define your primary goal *

What have you done thus far to work towards this goal *

Where are you looking for the most help in reaching your goal? *

Injury History and Health

Explain any and all injury history (even if fully recovered) as well as any current pain or injury. If currently in pain or injured, have you sought medical attention (PT, Ortho, etc) *

Do you have any pre-existing health condition? *

Yes
No

If you answered YES to the above question, please provide details below

Training History

How many years have you been strength training *

What are your best lifts *

Include Squat, Bench, Deadlift and any other primary movements that you have been training (rep work is ok if you do not have current maxes)

Attach current training programming including at least the past 3 months *

Click or drag a file to this area to upload.

PDF, XLS, PNG, JPG, DOC

Describe training approaches you have used in the past as well as what worked or did not work well for you *

Nutrition

Do you feel that you eat in a manner that mirrors your goals? *

Yes
No

Do you have any food allergies? *

Yes
No

If you answered YES to the above question, please list food allergies

Explain, in complete detail, a typical day’s nutrition *

How long have you been consistently eating in this way? *

Does your food intake change when you are bored or stressed? *

Yes
No

Do you feel your nutrition could be improved to further your progress? *

Yes
No

Please log seven consecutive days of your nutrition in MyMacros+ and share your username with me. *

Enter your MyMacros+ username here

Hydration

How much water do you drink per day? *

What additional fluids do you consume daily and in what quantity? *

Do you feel your hydration could be improved? *

Yes
No

Sleep

How many hours of sleep do you get per night *

Do you fall asleep quickly? *

Yes
No

How many times do you wake during the night? *

Do you wake up feeling well rested? *

Yes
No

Do you feel that your sleep could be improved? *

Yes
No

Stress

Rank your stress level on a scale of 1-10 *

Describe the stressors you experience on a weekly basis that contribute to this stress level *

Do you feel you manage stress well? *

Yes
No

Do you feel that your stress management could be improved? *

Yes
No

Character

Why have you chosen to pursue coaching with Uncommon Strength? *

I expect 100% adherence to training and all protocols involving nutrition, sleep, hydration, and supplementation within your plan. This does not include making deviations to strategy at my discretion. Are you confident that you can uphold this standard of adherence? *

Yes
No

I do not sugar coat or cheerlead my athletes. When presenting feedback, I will always give actionable steps to addressing issues and creating a path to success. I coach in a very straight forward and no-nonsense manner. I express the value of asking questions to better understand my methods, however you are ultimately hiring me to help you reach your goals based on my experience and ability to do so. Do you feel that you are coachable and willing to put your trust in me? *

Yes
No

Communication is absolutely key to me being able to coach you to the fullest extent. I have structured protocols for how you will report and log progress along our path together. Nothing will sideline your progress more than keeping me in the dark with lacking communication. Do you feel confident that you will be able to execute timely and thorough communication as per what I ask of you? *

Yes
No

One of the most important aspects I look for in those who I work with is the ability to take an honest assessment of what you are doing and contrast that with your goals. It is my job to call you out if you are not adhering to the necessary protocols to ensure maximal progress toward your goals. I always say “don’t tell me you didn’t have time, tell me it wasn't a priority.” Bottom line: if you make something a priority it is going to get done. Are you capable of checking your ego and excuses and being coached in a no-nonsense manner toward your goals? *

Yes
No

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