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01

Personal Information

Basic contact and demographic details so we can get to know you.

02

Health History

Your health history helps us design a program that's safe, appropriate, and optimized for your physiology.

Medical Conditions
Injuries & Limitations
03

Fitness Level & Training History

Help us understand where you are right now so we can build on it intelligently.

04

Goals & Timeline

Understanding what you want to achieve — and why — is the foundation of everything we build together.

1 — Not motivated10 — Fully committed
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05

Schedule & Availability

Your program has to work within your real life — not an ideal version of it.

06

Nutrition Habits

Your nutrition is half the equation. Help us understand where you are so we can build a strategy that works in your real life.

07

Stress & Sleep Assessment

Stress and sleep are the most underestimated variables in executive performance. This helps us design around your real physiological load.

1 — Very low stress10 — Extremely high stress
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Sleep Profile
1 — Chronically exhausted10 — Consistently high energy
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08

Travel Frequency

Travel is one of the biggest training disruptors for executives. We build around your travel reality — not in spite of it.

09

Investment & Commitment

We want to make sure we can build a program that's the right fit for your goals and investment level. Transparency here helps us serve you better.

Form Received.

Thank you for taking the time to complete your intake. Shane will review your information personally and reach out within 24 hours to schedule your consultation. We're looking forward to building something great together.

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