Online Training Form

1
Full name* This field is required.
Name
2
Email* This field is required.
example@example.com
3
City, province and country name* This field is required.
City
State / Province
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
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Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
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Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
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Cook Islands
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Cote d'Ivoire
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Cuba
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Dominican Republic
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France
French Polynesia
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The Gambia
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Iraq
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Liberia
Libya
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Mali
Malta
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Mauritius
Mayotte
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Mongolia
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Montserrat
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Nagorno-Karabakh
Namibia
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Nepal
Netherlands
Netherlands Antilles
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Nigeria
Niue
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Panama
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Peru
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Portugal
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Senegal
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Somalia
Somaliland
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South Ossetia
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eSwatini
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Taiwan
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Tanzania
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Tonga
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Trinidad and Tobago
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Isle of Man
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Western Sahara
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Zimbabwe
Other
Country
4
Whatsapp number* This field is required.
Please enter a valid phone number.
5
Gender* This field is required.
Male
Female
6
Age* This field is required.
7
Height* This field is required.
8
Weight in kgs* This field is required.
9
Bodyfat percentage (leave it if you don’t know)Write only if you have checked this through a device or test
10
Fitness level (experience)* This field is required.
Novice(completely new to exercise)
Beginner (1-3 months)
Beginner-intermediate ( 3-8 months)
Intermediate (9 months-1 year)
Advanced (1 year+)
11
What is your goal?* This field is required.
Fat loss (improve muscle definition and shape)
Mass gain (increase muscle's size)
Lean muscle gain (increase size while preventing/losing fat)
Maintain physique
To improve my overall health
Increase performance in specific sport
During or after pregnancy specific fitness plan
12
What is your sport?* This field is required.To be filled by only who selected the last answer in previous question.
Combat/fighting
Running/sprinting
Cricket
Football/soccer
Tennis
Squash
Other
13
Do you have bone/joint/tendon pain?
YESNO
14
Have you had any big accident in past 8 months?
YESNO
15
Do you have blood pressure?
YESNO
16
Do you have diabetes?
YESNO
17
Do you have asthma?
YESNO
18
Do you have migraine?
YESNO
19
Do you feel weakness alot?
YESNO
20
Do you have PCOs?For females
YESNO
21
Are you in care of a doctor and taking some medicines recommended by him?
YESNO
22
Do you do any drugs or smoking?If yes, mention name with quantity
23
Have you followed or following any specific diet plan?
YESNO
24
What is the diet plan you are or were following?
Keto
Low carb high protein
Fasting
Just eating very less
Sometimes I don't eat anything and sometimes I eat alot
Not following any diet
25
Do you have enough budget for following any expensive diet?* This field is required.
I can't afford much, try to make the diet as budget friendly as possible
I can afford some but can't afford buying expensive foods
Yes, I can afford
26
Are you allergic to any food?If yes, mention food name
27
Write your daily routine* This field is required.1. Wake up time, 2. Work time, 3. Workout time, 4. Sleep time. 5. Play time(if you are in sports)
Huge
Large
Normal
Small
Ok
Ok
28
How many days can you go to gym?
2 days per week
3 days per week
4 days per week
5 days per week
6 days per week
Can't go to gym, but can follow home-based workouts at least 3 days per week
29
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30
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31
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32
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33
Which Service Would You Like To Start With?
Please Select
Please Select
Premium Online Coaching by Syed Muhammad Shahiq
Online Coaching by Our Expert Team
34
PAYMENT INFO

Premium Online Coaching by Syed Muhammad Shahiq

Option 1: Exclusive 1-on-1 Video Coaching

$1,000 USD / month or $1,000 USD / 3 months on a customised budget package

Option 2: Online Coaching – Custom Plan + Accountability

Pakistan: 20,000 PKR / month
International: $200 USD / month

ACCOUNT DETAILS
SYED MUHAMMAD SHAHIQ
Meezan Bank
Account Number: 01130106308923
35
PAYMENT INFO

Online Coaching By Our Expert Team

Pakistan: Starting from 10,000 - 20,000 PKR / month (depending on conditions & package)
International: Starting from $60 – $120 USD / month (depending on conditions & package)

ACCOUNT DETAILS
SYED MUHAMMAD SHAHIQ
Meezan Bank
Account Number: 01130106308923
36
Upload Screenshot Of Payment
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37
I now have all the required information by which I can create an effective science-based workout and nutrition plan for you.

I hope that you will strictly follow my instructions and contact me every week to keep me aware of your progress. Whenever you feel confusion or want to ask something just dm me on instagram or whatsapp me or email me. I will try my best to reply you within 36 hours.

I request you to take pictures at the start and end of your program and give an honest review of your experience with me.

I promise you to give you a better body, performance and a healthier lifestyle. I want you to be honest and committed to what you've been assigned with no excuses.

-Syed Muhammad Shahiq Naqshbandi
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