New Client Set Up Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

4

Age* This field is required.

5

Sex

Female

Male

Non Binary /Other

6

Height in CM* This field is required.

7

Weight in KG* This field is required.

8

Body Fat % (If Known)

9

Chest in CM

10

Waist in CM

11

Hips in CM

12

Left & Right Quad in CM

13

Left & Right Bicep in CM

14

Any Conditions or Injuries that may affect your training?* This field is required.

15

How many days per week can you get to the gym/train at home?* This field is required.

16

Maximum number of sessions you can do per week?* This field is required.

17

Any specific days you CAN'T train?

18

What is the ideal length of a training session for you?* This field is required.

19

Do you want gym based or home based workouts* This field is required.

Gym

Home

Both

Type option 4

20

Are there any types of exercise or particular moves you LOVE or HATE?

22

What is your favourite training style/split?* This field is required.Pick 1-2

Full Body

Push/Pull

Upper/Lower

Push/Pull/Legs

Body Part Split (Bro Split)

Don't Mind

25

Do you prefer to:* This field is required.Pick 1

Lift HEAVIER weights with less reps (Less than 10 reps)

Lift LIGHTER weights with higher reps (More than 10 reps)

Mixture

Don't Mind

29

Is any other equipment not listed above? Or anything else you want me to know?

30

Do you have experience tracking calories/macros or using MyFitnessPal?* This field is required.

YESNO

31

Do you have a preferred nutritional approach? or lifestlye choice?* This field is required.Fasting, Vegan, Keto etc

32

Do you take any supplements?

33

Front Progress Photo* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

34

Right Side Progress Photo* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

35

Left Side Progress Photo* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

36

Back Progress Photo* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

37

I confirm that I would like to proceed with my application. As a Mind Muscle client I understand that I will need to invest in myself, be keen to learn, implement the training plan in full and confirm that I will be committed and dedicated.* This field is required.