ATHLETE APPLICATION
Name
*
First Name
Last Name
Phone #
*
-
Area Code
Phone Number
Email
*
example@example.com
DOB:
*
Height:
*
Current Weight:
*
What are your fitness goals you'd like to accomplish while working with me?
*
Are you willing to commit the next 3-12 months to transforming your body and getting in the best shape of your life?
*
Past or Current Health Concerns - Injuries - Surgeries - Medications - BE DETAILED
*
Experience level in the gym
*
Beginner
Intermediate
Advanced
Do you have access or a membership at a gym?
*
Yes
No
Please provide detailed information about your current diet and exercise plan (macros, meals, workouts, supplements, etc) BE DETAILED
*
How many hours do you normally sleep per night?
*
How are your energy levels throughout the day?
*
Excellent
Good
Fair (varies throughout the day).
Bad
Date of last menstrual cycle: Women Only:
*
Is there anything that you believe to be important for me to know?
*
Submit
Should be Empty: