Pound for Pound Intake Forms

Fitness
Do you have any health/personal concerns Pound for Pound Mater Body Sculpting should be aware? Such as previous injuries, illnesses,medications, anxiety etc.
On a scale of 1-5 What would you consider your fitness level at this stage in your life?

1

2

3

4

5

1 is Worst, 5 is Best
When was the last time you felt good about your body and / or “in shape”?

Fitness
What physical activities are you currently implementing into your day to day life?
Do you feel comfortable going into a gym?

YesNo
Are you comfortable exercising with out a trainer? Why or Why not?
When it comes to personal training which method of delivery do you prefer?

In PersonOnlineHybrid
Why is this your preferred method of personal training?

Consumption

What are your general eating habits?
What foods / drinks do you consume on a regular basis?
How often do you eat out ? Where? Why?
How comfortable are you with calculating your macro intake?

VerySomewhatNot at all
Do you currently weight or measure your food?

YesNo

Daily Consumption

What does a typical day of eating currently look like for you?
5:00 am to 11:00 am
12:00 pm to 5:00 pm
6:00 pm to 11:59 pm
Are there any health related or medical issues that Pound for Pound Master Body Sculpting should be aware of when creating your meal plan?

WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT
Signature* Date*

Singing this form is a consent of reading, understanding and agreement to abide by the terms and conditions stated in Pound for Pound Master Body Sculpting Waiver and Release of Liability and Indemnity.

Print Name of Parent or Guardian if under the age of 18

Example Weekly Check In Questions

At Pound for Pound Master Body Sculpting, we have observed that regular check-ins enhance client accountability, connectedness, and overall focus on achieving established goals. Below is an example of what your weekly check in will consist of . Please review this section prior to submitting this form. IT DOES NOT NEED TO BE FILLED OUT!
Please submit a picture of you on the scale with your recorded weight for the week clearly displayed. Remember the picture needs to be clear and the whole scale needs to be visable.
I followed the meal plan         #% of the time this week.
I did plyometrics   #   of times this week.
I lifted weights   # of times this week
I      #        lbs. this week.
Rate your efforts/ results for this week.
Why do you feel this rating is applicable ?
Should be Empty:

General Information