Team BodyBerry Coaching Form
For Coach
Andrew
Rachael
Ryan Sullivan
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age, Height and Weight
What are your short-term goals?
What are your long-term goals?
How important are these goals in relation to other things in you life? What are the obstacles that can get in the way of your success?
What is your occupation and work/school schedule? Are you active on the job or more sedentary? How do you spend your time? (lifestyle, kids, work etc.)
How much experience do you have with weight training? Have you tried programs in the past with positive results?
How many days are you currently training now? How many days can you train? What's your regimen like? What is your training split?
How much time are you able to spend in the gym?
What are the best times during the day for you to train schedule and energy wise? After how many meals?
Do you have any injuries? Are there certain exercises that you avoid?
Are you currently doing cardio? If so, what are you doing?
What type of cardio has helped you get the best results in the past?
Describe in detail, a typical days worth of eating. If possible, set it up like: Meal 1: Meal 2:
Do you know the current macronutrient breakdown (carbs, fats, protein, calories). If so please list. If you are following different diets for different days, please indicate
How long have you been at this current intake?
Have you been experiencing weight loss, gain with this intake? How has gym performance and energy outside of gym been?
Do you have any digestive issues? This includes bloating, pain, abnormal bowel movements. This is a big one that people often ignore or chalk up or downplay. To get the most out of your programs we need to optimize digestion and gut health as much as possible.
When was the last time you had an antibiotic? List drug and reason.
What foods do you love?
What foods do you hate?
Do you have any allergies or food sensitivities? Do you notice a negative response with any particular foods (bloating, gas, pain, tiredness, joint pain)?
Are you on any prescribed medications? Please list.
Women Only, are you on birth control? Which one? Are you having a regular menstrual cycle? And what is your history with regular menstrual or irregular cycles.
How would you rate your sleep? Are you getting 7.5 hours or more a night? Any issues with trouble falling asleep, staying asleep or waking up refreshed?
How would you rate your stress levels day to day? If you feel stress is high, do you notice you feel more anxious at particular times of the day?
Please list the supplements and doses that you are taking.
Are you currently or have you recently used performance enhancing drugs?
What is your previous PED experience?
Do you drink alcohol or use recreational drugs?
Do you have recent blood work result?
If so, please attach here. No screenshots. Download the PDF.
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Finally, please tell me exactly what you would like to get out of your experience from me. Is there anything else I should know?
Please upload front and back photos if a non-competitor. If you are a competitor, please hit all your mandatory poses.Please take pics in a clearly lit room at a distance away that I can see your whole body in the shot. (Link on proper pics https://www.instagram.com/p/CYrLV4ius9c/)
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