Name: Champion PT and Performance
Price range: $$

WELCOME! LET’S GET STARTED

Thanks for your interest in Champion’s online Individualized Coaching program. We are accepting a limited amount of clients at this time. To get started with your application, we need to learn a little more about you. Please follow the movement assessment instructions and fill out the form below. Our coaching staff will review and pair you up with the best coach for your goals and needs.

Individualized coaching is $199/month and requires a 3-month minimum commitment.

STEP 1 – MOVEMENT ASSESSMENT

The first thing we’re going to need from you in order to build your individualized program is to see how well you move. We’ve designed a movement assessment that you can easily perform at home that will give us a ton of information to use when we design your program.

We think this is an extremely important part of building your program as well as learning starting points for coaching cues to use with you. We will look at a few things in particular:

Standing Posture
Squat Pattern
Toe Touch
Lunge
Step
Rotation
Overhead Reach
Push-up

Here’s what you need to do:

Make sure your entire body is in the frame of the shot during the entire movement
The more we can see the better, so things like baggy clothes or dark clothing that blends in with the background may be tough. Make sure you have good lighting and (if comfortable) men feel free to take your shirts off and women please consider a tank top.
You can follow along with the example video as you film it with your phone. Watch the video below ahead of time to get an idea of what you’ll need to do.
To film, either prop your phone up on something, use your front facing computer camera, or have a friend film for you. Record your assessment in one continuous video.
When done, please upload your video to Youtube. This is really easy to do from the Youtube app on your phone. The app can easily upload a video from your phone’s camera roll. Leave the video as “unlisted” to assure only we can see it.
You’ll then send us the link in the next step

Watch the demonstration video below and follow along while you film your movements:

STEP 2 – QUESTIONNAIRE

Now that you finished filming your movement assessment, you can start filling out the Getting Started Questionnaire. You’ll be able to cut and paste the Youtube link from your movement assessment at the end of the form.

Personal Information
Name*
First Last
Email*
Please be sure to use the SAME email you used to sign up for the online program.
Age*
Gender*
Occupation*
Current Location (City, State, Country)*
Training History
Describe your overall training history:*
Briefly describe your training over the last 4-6 weeks (if different from above):
Have you worked with an in-person coach / trainer in the past?*
Have you worked with a remote/online coach in the past?*
If yes to either of the above, why did you stop working with the above coach(es)?
Injury History
Do you have any past medical history that may impact your ability to exercise? If so, please explain:*
Describe your injury history. Be as specific as possible:*
Are you currently suffering from any injuries that may limit your training? If yes, please explain:*
Have you been cleared by your doctor to begin an exercise program?*
We recommend you get cleared by your medical doctor prior to initiating any new exercise program.
Goals
What would you say was your primary reason(s) for signing up? You may select more than one answer:*
- I want to feel and move better
- I want to get stronger
- I want to lose weight
- I want to look better
Describe your fitness goals. What do you want to achieve the most? Be specific:*
Why do you want to achieve these goals? What will reaching these goals help you achieve?*
What has stopped you from achieving these goals in the past?*
Additional Information
How did you find out about Champion's Online Training?*
How many days per week do you ideally want to train?*
How many minutes per day do you typically have to train?*
What sort of gym do you work out in?*
What (if any) are the equipment limitations of your gym?*
ie. no access to barbells, dumbbells, kettlebells, TRX, Medicine Balls, Sleds, Ropes, Bikes, Rowers, etc.
Anything else you want us know?
Movement Assessment
After you record your movement assessment and upload to Youtube, copy and paste the link to the video in the box below
Link to Movement Assessment on Youtube:*

STEP 3 – WE’LL REVIEW YOUR APPLICATION

Thanks for submitting the application. Our coaches will review your application and get in touch with you shortly to discuss the next steps! Once accepted, we’ll set up a time to video chat with a coach to go over everything and get starting with your custom program.

WELCOME! LET’S GET STARTED

STEP 1 – MOVEMENT ASSESSMENT

STEP 2 – QUESTIONNAIRE

Personal Information

Training History

Injury History

Goals

Additional Information

Movement Assessment

STEP 3 – WE’LL REVIEW YOUR APPLICATION

CHAMPION PT AND PERFORMANCE