FIT EVOLUTION TRAINING
Please answer the questions below to the best of your knowledge.
First Name
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Last Name
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Email
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example@example.com
Phone Number
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City
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Gender
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Male
Female
Other
Height
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Weight
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Weight
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Pounds
Kilos
Date of Birth
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/
Month
/
Day
Year
Date
Do you currently excercise?
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Yes
No
If yes, what are you doing and how often?
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What goal is the most important to you right now? Keep in mind that you can't do both at the same time, so choose which you would like to focus on first. Weight Loss = Energy Deficit, Muscle Gain = Energy Surplus.
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Fat Loss
Muscle Gain
Athletic Performance
Which of these options best describes your goal?
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Overall weight loss while maintaining/SLIGHTLY building lean muscle mass
Happy with current weight, but want to reduce body fat/see more definition in lean muscle mass
Happy with current body composition/leanness, but want to build muscle mass
Want to build muscle mass with potentially adding on body fat
How long have you been consistently working towards this goal?
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If you chose weight loss, how much weight would you like to lose?
If you chose build muscle, how much muscle would you like to gain?
What is your ideal body weight?
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What is your 3 month goal?
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What is your 6 month goal?
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What is your 12 month goal?
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Why do you want to achieve these results? What will this do for you? (be specific, example; more confidence, better health, improved self-image, etc.)
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Which option below best describes your physical activity at work?
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You're sitting down most of the day, with little physical activity.
You sit down to work but you are frequently active during the day.
You have a physically demanding job.
Not Applicable
If you chose "Physically Demanding Job", please explain below.
How many days per week can you commit to exercising consistently?
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3
4
5
Do you plan to do any kind of exercise or physical activity besides your training with me?
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Do you have any limitations or preferences for working out? (Example: I would like to workout from home. I experience a lot of pain in my lower back. I have a bad knee. I recently had a surgery and cannot do any high impact exercises. Etc...)
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Please list any medical conditions that may affect your ability to fully participate in this training program.
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Are you allergic to any foods or supplements, or is there any food you don't like or would rather avoid in your meal plan? If yes, please list them below.
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Are you currently following any type of diet or nutrition plan? If yes, please describe it below or list your current calorie intake and macro-nutrients if you know them.
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How many meals per day would be ideal for you and your current schedule?
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3
4
5
6
How would you rate your sleep on a scale of 1-10? (10 = 7+ hours of sleep, sleeping through the night without interruption, waking up feeling rested.)
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What have you noticed you struggle with the most when following a workout and diet program?
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What have you noticed helps you stay on track with a workout and diet program?
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Please list any additional information you would like me to know and take into consideration when creating your nutrition plan:
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