Initial Questionnaire

Name*

First NameLast Name

Contact Number*

Please enter a valid phone number.

Email Address*

example@example.com

Time Zone*

example: EST

What are you looking to get out of working together? What is your goal?*

What challenges or obstacles have been keeping you from achieving your goals?*

Age*

Fasted weight*

Height*

How many days a week do you lift weights?*

Do you do cardio?*

YesNo

If you answered yes to the previous question, please include type of cardio, duration, speed, and frequency.

Describe your current diet. Please be as detailed as possible to include exact measurements, number of meals per day, and macronutrients.*

Please list any food allergies or foods you won't eat.*

Are you taking any dietary supplements? This includes vitamins, minerals, pre-workout drinks and protein shakes. If yes, be sure to include dosages and frequency.*

Are you currently taking or have ever taken any PEDs, SARMs, SERMs, ancillaries, peptides or fat-burners? If yes, please include the type, dosage, duration, and frequency.*

Are you interested in or planning on utilizing any PEDs, SARMs, SERMs, ancillaries, peptides or fat burners for faster recovery, hormone replacement therapy, increased athletic performance, or increased fat loss? NOTE: Chris Massaro is not a medical doctor and cannot prescribe any pharmaceutical compounds. He cannot diagnose or treat any diseases. He can only provide his opinion on safe practices for educational purposes only.*

YesNoMaybe. I need to learn more.

What is your current workout split?*

What time of day do you plan on going to the gym?*

Hour Minutes

AM/PM Option

List all prescription medications. Include dosage and frequency.

List any medical conditions.

List any injuries, ailments, and limitations.

How did you hear about us?

Referred by, Social Media, etc.

Questions, comments, or concerns.

Please upload current photos. Front, back, and sides relaxed and flexed. Photos are required now and at every check in. You may also send photos directly on signal messenger app. *If you are a competitor please provide all mandatory and compulsory poses as well as any stage photos from your last competition. *Please set up your camera at about waist height and far enough to see your full body. You can put your camera on a timer, use a selfie stick remote, or take a video and screenshot each pose. No mirror selfies! *Men: Please take your photos in either shorts or boxers. If you're a competitor, please take photos in your posing suit. *Women: Please take your photos in shorts and a sports bra or swimsuit. Female competitors wear a swimsuit or your posing suit. If your class requires heels, wear them.