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
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
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
Upload your most recent picFront
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30
Upload your most recent picBack
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31
Upload your most recent picLeft Side
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32
Upload your most recent picRight Side
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33
PAYMENT

For Online Coaching : Workout + Nutrition Plan
100USD / Month
270USD / 3 Months

For Nutrition Plan Only:
35.73USD or 10k Pkr / Month
92.89USD or 26k Pkr / 3 Months

ACCOUNT DETAILS
SYED MUHAMMAD SHAHIQ
Meezan Bank
Account Number: 01130106308923

50% OFF for SQ Fitness's connected partners
34
Upload Screenshot Of Payment
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Max. file size: 10.6MB
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35
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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