Application Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Gender
Male
Female
Age
Weight
Height
Brief Description of Fitness Goals
How Often Do You Work Out?
0 Days Per Week
1 - 3 Days Per week
3 - 5 Days Per Week
6 - 7 Days Per Week
How Many Days Per Week Are You Avaialable To Train ?
1
2
3
4
5
6
How Many Hours Per Day Are You Available To Train
0.5 - 1 Hour
1 - 2 Hours
3 - 4 Hours
Are There Any Exercises You Specifically Enjoy?
Are There Any Exercises You Don’t Like Or Cause Discomfort ?
Do You Have Any Commitments That Could Affect Your Ability Or Time To Train ?
What Is Your Gym Experience
Never Been To A Gym
Some Experience
Been Training 2 Years Or More
Do You Have Any Injuries At The Moment?
Do You Have Any Previous Training Related Injuries ?
Do You Have Any Hobbies Outwith The Gym?
How Well Do You Sleep
Poor
Average
Great
How Many Hours Sleep Do You Normally Get?
What Is Your Current Occupation?
How Physical Is Your Job Role?
Student/Office/Desk Job
Mainly Standing/Walking
Heavily Physical/Manual Labour
Do You Work Shifts?
Yes
No
Please List Any Allergies or Intolerances
Any Food You Would Like Incorporated Into Your Plan?
Any Food You Do Not Want In Your Plan ?
Complete A 3 Day Food Log (All Foods You Would Typically Eat Over A 3 Day Period). Please Be As Honest As Possible.
How Many Times Per Week Do You Consume Alcohol ?
Do You Currently take Any Supplements ?
Are you ready to start right away ?
Submit
Should be Empty: