Consultation
First and Foremost, thank you for considering joining this amazing team. -Team Poynter - Please be sure to fill out this form in its entirety and include an accurate email address as I will contact you via email in regards to coaching.
Name
First Name
Last Name
Male or Female
Male
Female
Phone Number
Please enter a valid phone number.
Email
example@example.com
Instagram User Name
Your Referral, if any.
Age
Height
Weight
What is your overall fitness goal?
Weight loss/Fat loss
Gain Muscle/ Strength
Lifestyle/ Wellness aka Live healthier
Hormone Rejuvenation
Compete In A Show Soon
Work Toward Doing A Show Later On
Improve Previous Show Placing
What Is The Time-frame of Your Goal
0-3 Months
3-6 Months
6-12 Months
12+ Months
When was your last Comprehensive Blood Panel Ran?
How high are your stress levels, on a scale of 1 to 5 with five being stressed out on a daily basis?
What Does Your Daily Food Intake Consist Of. (Meal Plan or Macro Count: please list foods if applicable.)
How many Fast Food Meals do you have per week?
Please Select
0-4
5-9
10 or more
Would you Prefer a Macro count nutrition plan where I give you numbers to hit or a Meal by Meal nutrition plan where I break each meal down to the ounce & gram where there is no guesswork. Please select one
Macro Count
Meal by Meal: No guesswork
If I put you on 5 or 6 meals per day, what meal number would you workout after. For instance if I wake up at 5am, eat meal 1 at 5:45am, then eat every 2.5-3 hours and I workout at 5pm, then I would workout after meal 5.
Could you do Fasted cardio which means getting up and doing cardio within 45 mins of waking. This does bring optimal results
Yes
No
Sometimes
Are You Currently Working Out with Weight? If so, How many days per week and do you have a specific training style, such as progressive overload or upper and lower body days?
What type of Facility do you have to train in? (Commercial gym, Home gym, Apt Gym). Home gym: Please List Equipment
Have you previously worked with a coach, if so, how was your experience?
Females Only: Do you have a monthly cycle? Are you on Birth Control?
Females: Do you have brain fog, acne, hair growth in abnormal areas, hair loss or other uncommon things happening?
List any other information that you think could relative to your goals.
How committed are you to reaching your goals? On the scale of 1 to 10 with 10 being extremely committed, allowing nothing to get in your way.
If you agree that all the information you have provided is accurate & you agree that no information given by Fitnesspoynters is to be shared on any platform. All documents sent to you are for you only, please do not share with anyone or to social media. Sharing or posting workouts or describing meal breakdowns on social medium is not something I can condone, your training and nutrition program was made for you only. Pic posting of meals etc is 100% ok, training videos work as well, please do not share the info I have given you. Please sign below if you agree with my statement. If you are under the Age of 18, a parent or guardian must sign for you.
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