top of page
BRISTOL COUNTY BARBELL CLUB
Home
Shopify Shop
New Client Intake
About
Testimonials
Contact
LETS GET TO WORK
Please fill out BOTH forms
Full Name
Phone
Email
Birthday
City / State
Why are you starting training now?
Primary Goal (check one)
*
Required
Strenght / Powerlifting
Fat Loss
Muscle Gain
Conditioning / Performance
General Health
Return From Injury
Training Experience
*
Required
Beginner (0-1 yr)
Intermediate (1-3 yrs)
Advanced (3+ yrs)
Current Weekly Training Frequency
*
Required
1-2 days
3-4 days
5+ days
In your own words — what does “success” look like for you in 3–6 months?
Send
Thanks for submitting!
Lifestyle, Recovery and Injurues
Do you currently have any injuries or pain?
*
Required
No
Yes
Past injuries or surgeries we should know about:
Movements that consistently bother you (if any): (ex: squat depth, bench shoulder pain, running, overhead work)
Average Sleep per Night:
*
Required
<5 hrs
5-6 hrs
7-8 hrs
8+ hrs
Current Stress Level
*
Required
Low
Moderate
High
Occupation (physical / sedentary / mixed):
Describe your current nutrition in one sentence:
Do you have any Dietary restrictions or allergies?
Are you willing to train consistently, communicate honestly, and follow the plan?
*
Required
Yes
No
I confirm the information provided is accurate and understand that training involves inherent risk.
Send
Thanks for submitting!
bottom of page
