Coaching Application

Thank you for your interest in Breakthrough Strength! Please fill out the questionnaire below we’ll be in contact with you to book a consultation and discuss the next steps.

Please answer each question as thoroughly as possible to design the best program fit for you!

Powerlifting Coaching Service - $75 / 4 Weeks. Student Rate - $60 / 4 Weeks

If you would like to inquire for meet day handling or other services/training needs refer to our services page

Contact Information

Name

First Name

Last Name

Social media platform(s) used for training (If applicable)

Athlete Background

Age

How many years have you been lifting? How long have you been training for powerlifting or competing?

Current 1RMs for Squat / Bench / Deadlift?

Are you currently following a program or working with a coach?

Describe your current workout routine

Training Structure

How many days per week can you reliably train? Which days work best?

Current Squat, Bench Press and Deadlift Frequency

How many times do you perform each lift per week?

Do you train at a commercial gym, powerlifting gym, or elsewhere?

Provide name of your gym to review access to equipment.

Goals and Readiness

Are you currently deadling with any injuries? Battled with any injuries in the past?

What are your current short-term and long-term goals? Be as specific as you'd like.

Are you preparing for or interested in a competition?

Any lifestyle factors that may inpact training or consider when writing your program?

How can I best support you as your coach?

Let me know what you're looking to gain from coaching. Structure, accountability, communication, technique work, competition prep or something else.

How did you hear about my coaching?