Weightlifting Questionnaire

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Transcript of Weightlifting Questionnaire

  • Name:_____________________________ DOB: / / Weight Class: _________

    Address:________________________________________________________________________

    Phone:______________________________ Email:____________________________

    US Citizen: Y N Academic Classification: Freshman, Sophomore, Junior, Senior, Transfer

    GPA:___________ Degree Program of Interest:_______________________________________

    How many years have you been involved with weight-training?______________

    How many years have you trained specifically for weightlifting?_____________

    Why did you start weightlifting?_____________________________________________________________

    _______________________________________________________________________________________

    Please list your coaches (name and contact information) and team:

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    Please list weightlifting accolades:

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    _______________________________________________________________________________________

    Please fill out and email to: [email protected]

    East Tennessee State University

    Center of Excellence for Sport Science and Coach Education

    Weightlifting Questionnaire

  • Current Best Lifts:

    Squat:__________ Snatch:__________ Clean & Jerk:__________

    Goals:

    Squat:__________ Snatch:__________ Clean & Jerk:__________

    Team Goals:

    Short Term:________________________________________________________________

    ________________________________________________________________________________________

    Long Term:_______________________________________________________________________________

    ________________________________________________________________________________________

    Injury History:______________________________________________________________________________________

    __________________________________________________________________________________________________

    Other Sports Experience:______________________________________________________________________________

    Hobbies and Special Interests:___________________________________________________________________________

    __________________________________________________________________________________________________