Combat & Performance Training

Intake form

Finding out more about you so we may be better prepared and customise our movement assessments to the individual.

About you

The basics, so Sotir knows who he is training and how to reach you.

What is your first and last name?*

Email*

Please enter your phone number, including the country code WhatsApp is acceptable.

Emergency contact: name and phone number

What is your date of birth?*

Height (cm), Weight (kg)

Where are you from? Expats, where did you last come from.

Health screen

Answer honestly. Nothing here rules you out, it tells Sotir how to start you safely.

Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?*

Do you feel pain in your chest when you perform physical activity?*

In the past month, have you had chest pain when you were not performing any physical activity?*

Do you lose your balance because of dizziness, or do you ever lose consciousness?*

Do you have a bone or joint problem that could be made worse by a change in your physical activity?* If yes, please explain. If no, write no.

Do you know of any other reason why you should not engage in physical activity?* If yes, please explain. If no, write no.

Injury and medical history

This shapes your movement assessment more than anything else on the form.

Have you ever sprained your ankle?*

Have you ever had any head injuries?*

Have you been knocked out in the past 6 months?*

Have you ever had any pain or injuries (ankle, knee, hip, back, shoulder, etc.)? If yes, please explain.

If you have any medical exams (x ray, CT scan, MRI or ultrasound) please upload them Tap to add files, or drag them here Up to 10 files, 3MB in total. If your scans are larger than that, email them straight to sotirkichukovbg@gmail.com

Have you ever had any surgeries?* If yes, please explain. If no, write no.

Has a medical doctor ever diagnosed you with a chronic disease, such as coronary heart disease, coronary artery disease, hypertension (high or low blood pressure), high cholesterol or diabetes?* If yes, please explain. If no, write no.

Are you currently taking regular medication?* If yes, please explain. If no, write no.

Lifestyle

How you spend the other 23 hours decides what your training has to undo.

What is your current occupation?

Does your current occupation require extended periods of sitting?

Does your occupation require you to wear shoes with a raised heel (dress shoes)?

Rate your sleep quality

1, poor10, excellent

How many hours of sleep do you get per evening?

Do you consistently feel rested upon waking, or are you groggy and tired?

Do you partake in any recreational activities (golf, tennis, skiing, etc.)? If yes, please explain.

Do you have any hobbies (reading, gardening, working on bikes, etc.)? If yes, please explain.

Are you aware of your learning style? Choose as many as apply.

Training

What you have done before, and what you can realistically commit to.

How many exercise sessions do you prefer, or will commit to, each week?*

Have you ever had personal training in the past? If so, what made you stop?*

What sort of previous experience have you had with fitness?* Choose as many as apply.

Would you be interested in a nutrition guideline?

Goals

The most important part of the form. Be specific.

What are your goals, or why are you interested in Combat and Performance Training?* Choose as many as apply.

Lastly, and most importantly, please explain why you wish to attain these goals

A copy of your completed form is emailed to you as a PDF the moment you submit. Your answers go straight to Sotir and are used only to prepare your movement assessment. Nothing is shared with anyone else.

Form received

Thanks, your intake form is in and Sotir has it. A PDF copy is on its way to your inbox. He will be in touch to organise your movement assessment.

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