Welcome to Stevendurance

Elite Coaching!

You made the decision. Now let's build the program around you.

This questionnaire is how we do that — every answer gives us exactly what we need to build your training, your nutrition, and your roadmap from day one. Be honest, be specific, and don't rush it.

Set aside 25-30 minutes and complete this in one sitting.

📸 Before you start — photos required

You'll need 3 photos ready before you begin — front, side, and back. This form doesn't save progress, so if you exit early you'll need to start over.

For best results, take these first thing in the morning before eating or drinking.

5 things to get right:

Lighting — very well lit
Clothing — shorts/bathing suit or underwear only, no shirt. Short enough to see your full thighs.
Full body — entire body in the shot. You can crop your face out if you prefer
Phone setup — prop your phone at eye level on a shelf or tripod, take a video, then screenshot. No thumbnails or time display on screen
Positions — front, side, and back. Arms at your sides, eyes forward, don't turn your head

Set aside 25-30 minutes

First Name *

Email *

Last Name *

What is today's date? *

What is your Instagram Handle? *

Where are you do you live (city/country)? *

What is your date of birth? *

What is your height? *

What is your current weight (preferably weighed first thing in the morning before eating or drinking)? *

Did anyone recommend or refer you us? *

Yes

Who recommended you? *

Do you have food allergies or intolerances? *

Yes

Please detail food allergies and/or intolerances *

What foods do you particularly LIKE? *

What foods do you particularly DISLIKE? *

What is your current daily diet? *

Which is more preferable when it comes to macronutrients & calories (note that we will most likely begin with tracking and pull you off of it at some point during your journey): *

Tracking

Not Tracking

Please list any current intra or post workout supplementation (e.g. pre workout drink; BCAAs; whey protein post workout; etc. ) and specify quantities.

What is your current alcohol intake on a daily/weekly basis? *

Any other information you feel would be relevant in regards to diet and/or nutrition? *

Please outline all previous exercise, sports, or physical activities you have regularly participated in. Please include how many years you have been going to the gym. *

List any history of sports, exercise classes, cross fit, gym training, etc. Please advise the last time you participated - e.g. Tennis once a week up to 2 years ago; Weekly Cross Fit class on Saturday mornings currently; etc.

Please outline your recent activity levels, specifically within the last month. *

Do you train in a gym or at home? If at home what equipment do you have? *

Do you currently train more than once a week in a gym? *

Yes

What is your current training routine and frequency (e.g. Push, pull, legs x 2/week; 3 x full body / week; etc.) *

How many days a week do you typically train? *

What time of day do you typically train? *

How many years have you trained consistently in the gym? *

If you don't currently train in the gym - what time of day would you be able to commit to for your program? *

Morning

Afternoon

Evening

Do you perform any specific cardio exercise (intentional exercise in order to raise your heart rate)? *

Yes

Please detail type of cardio. How long is each session (e.g. 30 mins) and how often per week? *

Any specific exercises/activities you enjoy or specific ones you do NOT enjoy? *

Within your current lifestyle, how many days a week will you realistically be able to lift weights? *

3 days a week

4 days a week

5 days a week

6 days a week

What time of day do you typically wake up? *

What time of day do you typically go to bed? *

What BEST describes you right now? *

I don't know where to start

I have started but reached plateau

I need accountability & guidence

I know what to do but it's taking too long by myself

Other

Which one of these best describes your biggest goal THIS year? *

If you've previously attempted to achieve these goals unsuccessfully, what is different this time? *

What would success look like 12 months from now (weight, mindset, habits, relationships)? *

Do you currently take medications we need to know about that might impact your journey? *

Yes

(ex: thyroid medication, hormone therapy, performance enhancing medication, fat burners, etc.)

Please detail below: *

Be specific with doses and time frames.

Please list all details associated with the above including but not limited to: dates, treatments, medications & dosage, etc. IF NONE OF THE ABOVE, TYPE "N/A" please detail anything you checked off and/or any other injuries or health concerns, Please Explain: *

Do you understand the above statement, have sought out the relevant clearance (if necessary) and are agreeing that there is nothing else we need to be aware of before setting and commencing your training program? *

Yes

What date do you want to start your program? *

What is the duration of your program? *

3 Months

6 Months

12 Months

In detail, please state anything else about yourself that you feel is pertinent. We want to ensure we provide you with the best possible program and ongoing guidance to achieve your goals?

After submitting this questionnaire you'll upload your before photos using the secure form provided.

Before Photo Instructions 📷

Take your photos against a plain background in good lighting. Wear shorts/bathing suit or underwear — no shirt.

Three positions: Front, Side, and Back — full body in frame, arms at your sides, looking straight at the camera.

Prop your phone at eye level on a shelf or tripod. Don't hold it. Take a short video in each position, then screenshot the frames.

Once you have all three, click below to submit the intake & upload your photos.

What is your T-Shirt Size? (For your free gift)

Please confirm that you are aware of the terms and conditions (to which you agreed to before filling out this form) regarding the 30 Day Money-Back Guarantee, that this is NOT a trial period, and the monthly payment cancellation and notice period. *