Elite Transformation Questionnaire
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Gender
*
Male
Female
Age
*
Height
*
Weight
*
Body Fat %: (use the picture above to determine which most closely resembles yourself.)
*
Please Select
3 - 4%
6 - 7%
10 - 12%
15%
20%
25%
30%
35%
40% +
What are your fitness goals?
*
What are the obstacles preventing you from accomplishing these goals?
*
What is your occupation?
*
What are foods you enjoy eating?
*
Which foods do you dislike?
*
Do you have any food allergies? If so, what are they?
*
Are you currently taking medications?
*
How is your sleep and how many hours per night do you sleep?
*
How do you feel your digestion is?
*
How often do you consume alcohol on a weekly basis?
*
Do you enjoy cardio?
*
Yes
No
How many days per week are you committed to working out?
*
What is your current training schedule? What changes do you feel need to be made to the way you are currently training in order to succeed at your goal?
*
On a scale of 1-10, (1 being very close and 10 being very distant) how close do you feel to the ideal body you have in mind?
*
Submit
Should be Empty: