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Programme Brief
Your answers to this brief will help provide the structure and design of your programme. If you are unsure about any of the questions please drop me a line.
Personal Details
Name
*
First
Last
Mobile Phone
*
Email
*
Enter Email
Confirm Email
Goals
What are your top three priorities that you'd like to accomplish with this programme?
1st prioirty
2nd priority
3rd priority
What changes would you like to have seen in three months?
*
What changes would you like to have seen in six months?
*
Exercise
Do you use a device to track heart rate while you exercise?
Yes
No
Would like more info on the myzone heart rate monitor that works with the Boxing, Bars & Bells app so that I can track all of your workouts and intensity.
Yes
No
During a typical week, on how many days could you train for between 30 and 45 minutes?
*
1 to 2
2 to 3
3 to 4
4 to 5
5 to 6
Training structure
If you have an idea of what your training week would like to look like, for example Monday - Swimming, Tuesday - Weights etc, please write it our below. If there is a particular day you can't or don't want to train simply write, 'No training'.
The plan will not be written in stone, this is purely to get an idea of how your training week will be mapped out and where your time will be best utilised.
Monday
Turesday
Wednesday
Thursday
Friday
Saturday
Sunday
Exercise past & present
Please give a brief description of exercise you have done in the past or are currently doing.
Please give a brief description of any exercise you really don't enjoy.
*
Please check the boxes for the equipment and activities you have experience with and are comfortable using/doing.
kettle bells
free weights
rowing machine
ski rower
crosstrainer
treadmill
running
air dyne (air bike)
spinning/Peleton
cycling (outdoor)
swimming
crossfit
HIIT classes
stongman
outdoor assault courses (eg. Tough Mudder/Spartan)
body weight training (chin ups/dips)
boxing (sparring)
boxing fitness classes (no contact)
punch bag
resistance bands
suspension equipment (TRX)
Free Weights
What can you squat for 5 reps?
If you're not sure leave blank.
What can you bench press for 5 reps?
If you're not sure leave blank.
What can you deadlift for 5 reps?
If you're not sure leave blank.
Can you perform a barbell clean?
Yes
No
WTF is a barbell clean?
Rowing
What is your average 2k time?
If you're not sure leave blank.
Running
What is your average 5k time?
If you're not sure leave blank.
What is your average 10k time?
If you're not sure leave blank.
Crossfit
Please give a brief description of the CrossFit training you do and if applicable include, Box name, competitions you've entered and if you do your WODs at RX or scaled.
Body Weight Exercise
How many dips can you do?
If you're not sure leave blank. A dip is classed by starting with a straight arm to dipping so that the back of the upper arm is parallel to the ground.
How many press ups can you do with your chest touching the floor for each rep?
If you're not sure leave blank. If you are able to do press ups on your knees, please write 'knees' after the number.
How many chin ups can you do?
If you're not sure leave blank. A chin up is pulling from arms completely out stretched to your chin being level with the bar and back to full arm extension.
Boxing
Please give a brief description of your boxing experience.
Please give a brief description of the boxing classes you attend and how long you have been doing them for.
Please give a brief description of your experience using punch bags.
Boxing - punch bag workouts
Please check below if you would like to trial the new Boxing, Bars & Bells app punch bag workouts suitable for all levels.
Boxing - punch bag workouts
Yes please!
No thanks.
Not sure. Please send more info.
App/Online Coaching
Please check the boxes for of any equipment or activites you' like to learn through the app or online coaching.
kettle bells
free weights
rowing machine
ski rower
crosstrainer
treadmill
running
air dyne (air bike)
spinning/Peleton
cycling (outdoor)
swimming
crossfit
HIIT classes
stongman
outdoor assault courses (eg. Tough Mudder/Spartan)
body weight training (chin ups/dips)
boxing (sparring)
boxing fitness classes (no contact)
punch bag
resistance bands
suspension equipment (TRX)
Please give a brief description of what you'd like to learn.
If there is any other information you'd like to include about your programme design and build, please tell me below.
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First Choice
Second Choice
Third Choice
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