JMDII Athlete Initial Assessment Form - JMDII Elite Performance Academy

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New Athlete Initial Assessment Form

This form provides JMDII with the foundational information necessary to conduct a proper needs analysis and develop a structured performance program aligned with your goals, training age, and competitive demands.

Submit Your Answers to the Questions Below:

Athlete's Name *

First

Last

Age: *

Sport(s): *

Position(s): *

Current Level *

Middle School
Freshman Team
High School JV
Varsity

Height: *

Weight: *

Parent/Guardian Name: *

First

Last

Parent/Guardian Phone Number: *

Parent/Guardian Email Address: *

Athlete's Phone Number: *

Athlete's Email Address: *

Do You Currently Train With a Team? *

Yes
No

What Phase of Season are You Currently In? *

In-Season
Off-Season

Explain Your Gym/Training Equipment Access *

Access to Full Gym/Weight Room
Access to Limited Equipment
No Training Equipment Access

Have You Had Any Major Injuries? (Surgeries, Bone Breaks/Fractures, Tears, etc.) *

If yes, list all with brief explanation.

Do You Currently Experience Any Recurring Issues? *

(Hamstring Strains, knee pain, low back tightness, etc.) If yes, list all with a brief explanation.

Are You Currently Cleared For Full Activity By Doctor/Physician? *

Yes
No

How Long Have You Been Resistance Training? *

< 6 months
6–12 months
1–2 years
2+ years

Have You Worked With a Strength Coach Before? *

Yes
No

Rate your confidence (1–5) performing the Back Squat: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the Front Squat: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the Trap Bar Deadlift: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the Bench Press: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the Push Press: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the Hang Clean: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the Power Clean: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing the RDL: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing Step-Ups: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Rate your confidence (1–5) performing Pull-Ups: *

1
2
3
4
5

1 = never done 5 = can teach someone else

Level etc.) Number:

List the Estimated Times/Numbers For The Tests Described Below: *

Back Squat 1 Rep Max(1RM) • Bench Press 1RM: • Deadlift 1RM: • 40-yard dash time: • 5-10-5 Short shuttle • L-Drill • Vertical Jump: • Broad Jump —If not known, write "Not Known" next to the associated exercise.

List Your Main Training Goals: *

Get stronger
Get faster
Gain Power/Explosiveness
Gain weight
Lose weight
Other (type your answer in the box below)

Check All That Apply

If you chose "Other" type your answer here

List What You Feel To Be Your Biggest Weakness: *

Is there anything that coaches have told you that you specifically need to improve? *

If yes, list all things here, if no write "no".

What Choice Most Accurately Describes Your Average Hours of Sleep Per Night? *

Less than 6 hours
6 Hours
7 Hours
8 Hours
9+ Hours

Are You Currently Taking Any Supplements? *

Yes
No

If yes, list them all in the box below. (This includes: Vitamins, Protein, Creatine, BCAA's, etc.)

If You Answered Yes, List All Supplements Regularly Consumed:

Do You Have Any Current Dietary Restrictions? *

If Yes, List Them All Here (Allergies, Intolerances, etc.)

Different Breed.

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