Enquiry Form

Enquiry Form

Please fill out the below as completely as possible to help me design a program that is suited to you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender*

MaleFemale
Age*
Current Weight (kg)*
Height?*
What's your coaching preference?*

Face to Face (Newcastle, NSW only)Online
What's your short-term goal?*
What is your timeframe to accomplish this goal?*
What's your long term goal?*
Describe your current resistance training program in as much detail as you can. Include No. of days, split, volume(sets), rest days, intensity, etc.*
What time do you usually work out and for how long?*
Do you participate in any sports or vigorous activity? Describe what, how many sessions per week and length.*
Do you do any cardio? Describe what type, how many sessions a week and length.*
Describe your nutrition. If you follow macros input them below, alternatively provide an overview of your meal plan (with amounts) or daily eating.*
Do you take any supplements? Describe what you take and their doses.*
Do you take any Pharmacological agents/PEDs? Describe your use with dosages over the past 12 months.*
What kind of gym do you attend?*

Commercial GymStudio GymHome GymI don't attend a gym
If you chose any option other than Commercial Gym, describe what equipment you have available to work out with.*
Describe any conditions, illnesses, injuries or medications you're on.*
Any additional notes or comments*
Should be Empty: