VIP Questionnaire
First Name
Last Name
Contact Number
Email Address
example@example.com
Time Zone
What is your main goal and how serious are you about achieving it?
What challenges or obstacles have been keeping you from achieving your goal?
Age
Fasted Weight
Height
Do you have the ability to do fasted cardio?
Do you have cardio equipment at your house?
Describe your current diet in detail.
Please list any allergies in general, if at all, along with food allergies or foods you won’t eat as well
Are you taking any dietary supplements? If so please list
Are you currently taking or have you ever taken PEDs, SARMs, SERMs, ancillaries, peptides, or fat-burners?
Are you interested in or planning on utilizing PEDs, SARMs, SERMs, peptides, ancillaries, fat-burners, or HRT?
What is your current strength training split?
What time of day do you plan on going to the gym to strength train?
List all prescription medications
List any medical conditions
List any injuries, ailments, or limitations
How did you hear about me?
Questions, comments, or concerns
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