Name
First Name
Last Name
Gender
Male
Female
Other
Age
Email
example@example.com
Occupation
How active is your job on a scale of 1-5? (1 being sat at desk all day 5 being working on a building site on feet lifting all day)
Height
Weight
Do you have a gym membership?
Do you currently go to the gym? If so, briefly describe your currently routine. I.e how many days a week, how long, what sort of training etc
Describe your Current fitness level
Describe your level of training/nutrition experience
On a scale of 1-10 how active are you (1 being bed bound everyday 10 being elite athlete training 4-5 hours every day)
How many training sessions per week can you commit to?
How long can you spend in the gym per session
What time of day is best for you to train?
What are your physique goals?
Is there a specific body part that you want to work on more than others?
How many steps do you do per day
Describe your current physique shape
Do you have any high activity hobbies? Such as sport for example? If so how often per week and how long per session
Do you know any of your body measurements? for example waist/arm/hip/chest. Please write down all measurements that you know
Do you use any supplements Or Peds (such as anabolics weight loss drugs)
Describe the quality of your sleep
How much water do you consume daily?
Do you have any allergies or intolerance's?
Are you vegan vegetarian or pescatarian?
What does a typical day of eating look like for you at the moment?
Do you know how to track macros such as Protein Carbs and Fats?
How many calories are you currently eating per day? Not including alcohol
Do you drink alcohol? If so how much (be honest as this is very important)
Are there any foods you canβt eat due to religion beliefs?
Fave healthy foods?
Fave fruit and veg?
Any fruits and veg you dislike?
Tick the proteins you enjoy
Chicken breast
Chicken thigh
Lean minced beef
Steak
Tuna
Fish
Salmon
Bacon medallions
Eggs
Milk
Greek yogurt
Protein powder
Tick the carbs you enjoy
Bread
Bagels
Cereals
Rice
Pasta
Potatoe
Sweet potatoe
Oats
Noodles
Cream of rice
Jam
Honey
Syrup
Are you on any medication?
Would you be happy to for me to share progress pictures on social media?
Do you have any current or past injuries/illnesses or any personal health concerns that need to be mentioned?
Lastly, Is there anything i need to know about you or anything you want to mention
Signature
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