Acsell Coaching (Sign-up Questionnaire)
I appreciate your interest for my guidance. This is part of my process and I hope you respect it. The reason why I do this is because you probably want information from me. That being said, it is only fair that I obtain information from you. Again, do not leave out any information I am asking for. I dislike sending athletes a second email requesting what they left out. Not a good way of starting with me if you can't follow directions. My number one objective is to add value to you. I am hoping you can reciprocate this statement. Just keeping it . I will review your responses and reply to you as soon as I can. The more I know about you, the better. No BS either.
Name
*
First Name
Last Name
Date of Birth
*
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Lună
-
Zi
An
2 digit month, 2 digit day, 4 digit year
Please allow 24 hours for me to reach out to you
Email
*
example@example.com
Mobile Number
*
Please let me know from which country you are
Age
Current Weight (KG)
Current Height (CM)
How did you hear about my service and what made you want to join with me?
Goals
I am happy to work with you for your transformation towards the goal of achieving a look never thought possible.Muscular,Lean and performing at your best!
Please expand upon your goals here:
Why is achieving these goals important to you?
Where do you think you need most help to achieve these goals ?
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Current Nutrition
The truth! It's important for me to know exactly what you've been eating, no matter how "Bad" it was or if you feel embarrassed with it. We are here to get better and I need to know what you did because this influences your starting point by a huge percentage.
How would you rate your nutrition ?
poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is poor, 10 is Excellent
How does a full day of eating look like for you?
Please expand on meals, upon waking till before bed
How many meals can you comfortably eat in a day?
Please expand. What times of the day you feel hungriest and when are you struggling to eat?
This will all be used to create your starting program. I take everything in consideration!
On the Days where your nutrition was considerably bad, why do you think that was ?
What happens in your life that can hinder your adherence?
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Nutrition Plan: Pick & Mix
Below you have a list with all sources that i can use to build your plans.Please select the sources that you think you would eat and actually enjoy.Leave out the ones you don`t want!
Choose a minimum of 5 PROTEINS below
Chicken Breast
Turkey Breast
Turket 5% Mince
Chicken Sausages
Beef Steak
Beef Mince
Salmon
Cod
Tilapia
Egg Whites(eggs)
Greek Yoghurt
Whey Protein Supplement(hope you choose this one)
Eat Lean Protein Cheese
Cottage Cheese
Soy
Tofu
Tempeh
Beans
Lentils
Green Peas
Choose a minimum of 5 CARBOHYDRATES below
Oatmeal(oats,porridge)
Brown Bread(Toast)
Brown rice
Jasmine Rice
Basmati Rice
Cream of rice
Cereal
Sweet Potato
White Potato
Wheat Pasta
Apples
Bananas
Berries
Honey
Sweet Corn
Hummus
Crumpets
FlapJacks
Rice Cake
Choose a minimum of 5 FATS below
*
Almonds
Macademias
Pumpkin Seeds
Sesame Oil
Peanut Butter
Cashews
Pecans
Olive Oil
Avocado
Walnuts
Peanuts
Coconut Oil
Hazelnuts
Pistachios
Macadamia Nut Oil
Almond Butter
Cashew Butter
Chia Seeds
Olives
Choose a minimum of 5 VEGETABLES below
Lettuce
Broccoli
Spinach
Peas
Kale
Zucchini
Celery
Asparagus
Carrots
Cucumber
Mushrooms
Cabbage
Green Beans
Cauliflower
Peppers
Onions
Leeks
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Health-Related Information
Please be as explicit as possible
Do you have any food allergies?
*
Do you have any previous or current injuries?
*
Any pre-existing medical conditions that I should know about ?
*
What type of equipment is available to you ?
*
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Training
That feeling of wrapping your hands around the cold iron.. this will be something to look up to everyday. I want to make sure we make your training count!
What kind of pace do you want to go at for this program?
Slow and Steady
Quick and Aggressive
My opinion is Slow and Steady :)
What time do you workout?
Morning
Lunch Time
Early Afternoon
Late Afternoon
Night Time
What do you consider your activity level to be ?
Sedentary
Lightly Active
Moderately Active
Extremely Active
What do you consider your experience level?
Beginner
Amateur
Professional
Competitive
How often do you work out?
None
1-2 times a week
3-5 times a week
6-7 times a week
Two-a-days or extremely intense sessions
Can you please expand on what you were doing until now in terms of training/cardio
Please include your routine here (state any existing cardio you were doing)
You can write your routine if you want ,it helps to split your meals to be easier for you!
Any further questions? Speak freely here
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