Client Intake Form
INSTRUCTIONS
The answers to these questions are essential in order to allow us to design an optimized training program for you. Please answer all questions accurately while being as concise as possible.
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A. GENERAL INFORMATION
1. Name
2. Cell phone number
3. Email address *
4. Hometown / State *
5. What level are you?
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6. College (if applicable. Write "n/a" if not yet in college. Write "Alum" after the college if you have already graduated, i.e. "Ole Miss Alum"  )
7. Year in school *
8. Age (years) *
9. Position *
10. Links to your personal Twitter + Instagram (optional). We like to follow our athletes on social media and may also pull one game/training photo to use in a welcome social media post. Alternatively, you may just email us a photo of you in action to contact@treadathletics.com
11. Do you have Microsoft excel on your computer? (We typically send the program in this format) *
12. How did you hear about TreadAthletics? *
B. KEY DATES
1. Program start date *
Day that you can officially begin your training program with us (enter today's date if you're ready to go right now!)
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2. Are you playing fall baseball? (If no, skip ahead to question #5)
3. Fall season start date
Approximate day that your fall season begins with your team.
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4. Fall season end date
Approximate day that your fall season ends with your team.
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5. Are you playing spring baseball? (If no, skip ahead to question #8)
6. Spring season start date
Approximate day that your spring season begins with your team.
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7. Spring season end date
Approximate day that your spring season ends with your team.
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8. Are you playing summer baseball? (If no, skip ahead to question #11)
9. Summer season start date
Approximate day that your summer season begins with your team.
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10. Summer season end date
Approximate day that your summer season ends with your team.
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11. Other relevant dates
Dates of tryouts, scout days or showcases that you're preparing for (include date and which it is)
12. How in shape is your arm to begin a throwing program?
This will help us determine which phase of throwing to begin in.
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13. If you answered "other" to 12., please explain:
C. BODY PROFILE
1. Height *
2. Weight (lbs) *
3. Goal Weight (next 6 months) *
4. Wingspan (inches) *
Hold arms straight out to side, measure from fingertips to fingertips.
5. Wrist Circumference (inches) *
Measure around the base of the hand using a tape measure or you can measure using a string wrapped around the wrist and place the marked string against a ruler.
6. Elbow Circumference (inches) *
Measure directly at the elbow joint just as you did for the wrist.
Which best describes your body type and how it responds to diet and training?
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(See question below)
Which picture above best represents your current body fat percentage (not necessarily muscle mass, just level of muscle definition) Be honest!
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D. GOALS
Take your time to think about these. Pick what you feel are realistic goals 6-month goals. Be honest with yourself, but don't hesitate to be a little ambitious as well.
1. Outcome oriented goals: why are you doing this? Where do you want to be 6 months from now? Briefly answer below. Example outcomes: I want to get drafted, make my varsity team, be the #1 starter, etc.
2. Metric oriented goals: explain any more specific metric goals you have in mind. Briefly answer below. Example metric goals: I want to gain 3-4 mph, touch 90 mph, improve my squat from 250 to 315 lbs and my 60 yard dash from 7.3 to sub 6.9 seconds while gaining 10-15 lbs of good body weight.
3. Process oriented goals: explain what your day to day goals/habits for actually accomplishing the above are. Briefly answer below. Example: stick to a consistent daily routine, track my calories and bodyweight consistently, communicate with my coaches how I'm feeling and not miss training sessions.
E. STRENGTH AND PERFORMANCE METRICS
For all of these metrics, if you don't know your exact numbers, just make a conservative guess. Don't go and max out to get your starting metrics. If you do a slightly different variation of any of these exercises (i.e. front squats vs. back squats, or straight bar instead of hex bar deadlifts, just make your best honest guess at what your 5-rep max would be).
1. Resting Heart Rate
Take pulse at your wrist and count the number of pulses in 60 seconds. Do first thing in the morning while relaxed and laying down. Enter the number below in beats per minute (bpm).
2a. Fastball Velocity (average) *
2b. Goal Average Fastball Velocity (in 6 months) *
3a. Fastball Velocity (peak) *
3b. Goal Fastball Peak Velocity (in 6 months) *
4. Max Push-Ups in one set *
Form Check: Push-Ups (shown with resistance here)
5. Dumbbell Bench Press 5 rep max (lbs)
Form Check: Dumbbell Bench Press
6. Back Squat 5 rep max (lbs)
Form Check: Back Squat
7. Trap (Hex) Bar Deadlift 5 rep max
Form Check: Trap Bar Deadlift
8. Dumbbell Row 5 rep max (clean reps)
Form Check: Dumbbell Row
9. Max bodyweight chin-ups in 1 set
Form Check: Chin-Ups (shown with handles here)
10. Vertical Jump (inches)
11. Broad Jump (in inches) - if known. Use the chart below for reference.
12. Medial to Lateral Jump (in inches) - if known. Use the chart above for reference.
Form check: medial to lateral jump
13. 30 yard dash time - if known
14. 60 yard dash time - if known
F. TRAINING HISTORY
1. Years of training experience *
2. What is your current workout program? How has it been working for you?
3. Are there any specific exercises that have particularly helped you in the past?
4. Are there any specific exercises that you tend to avoid based on past experience that you would not want to see in your program? Explain.
5. What do you feel is the biggest factor holding you back from reaching your goals?
G. EQUIPMENT
1. Trainining Equipment Availability
You'll want access to:   1. A squat rack, barbells and heavy dumbbells,   2. A trap/hex bar,  3. Medicine balls: 2, 3 & 4kg + an area for throws and slams,  4. A weight sled for pushing & dragging,   5. A glute ham raise machine,   6. A yoga/physioball for various exercises,   7. Various resistance bands   8. TRX or suspension straps. If you do not have access to some or any of these, please type "No access to: ..." and list them below.  We can work around most equipment limitations.
2. Throwing Access
You'll need access to a wall to throw soft plyocare balls into, a set of plyocare balls and weighted baseballs, a field to long toss at (or indoor facility to throw in during the winter), and radar gun access. You will also want a catcher to catch bullpens during the transition phase of your throwing program. If you do not have access to some or any of these, please type "No access to: ..." and list them below.
H. Medical Background
1. Do you have pain throwing or performing any weight lifting exercises? Explain.
2. Are you medically cleared to perform a strenuous resistance training program?
3. Are you medically cleared to perform a progressive throwing program including the use of weighted balls and long toss?
4. Please list any current and past injuries that caused you to miss more than a week of playing or training time, and the approximate date of the injury.
5. List all previous surgeries and operations including the approximate date of each.
6. List any known mobility or flexibility issues:
I. Nutrition Information
1. Do you have any food allergies / are you on any medications?
2. Are you taking any supplements? Please list.
3. Are you ready to commit to keeping track of your daily food intake, taking 5-10 minutes a day to enter your meals in your smart phone?
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4. Food Log
What does an average day of eating look like for you? Detail food selection, time of day and quantities briefly below.
J. SIGN AND DATE
By signing below, you verify that the information contained here is accurate to the best of your knowledge.
Electronic Signature [Print Full Name] *
Parent or Guardian Signature (if under 18)
Date *
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(Pro prospects / Pro players) Do you have an advisor / agent?
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