Ferocious Fitness New Client Application
Name
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
What type of client will you be?
Lifestyle
Competitor
Macros Only
Personal Training
Who referred you? OR how did you hear of our program?
Weight?
Height?
Age?
Tell me about your goals! Losing weight, adding muscle, maintaining your physique, getting stronger?
Does your family or significant other support your choice to be a part of this program?
Have you ever had or currently have an eating disorder?
Do you currently have any injuries or medical concerns that I need to know about?
Are you pregnant or nursing?
What supplements are you taking?
What is a typical day of eating like for you? If you are already on macros, what are they generally? Calories, P, F, C please. Do you tend to slip on the weekends or evenings?
How many days a week can you dedicate to working out?
What gym do you belong to?
Describe the equipment you have access to at the gym. If you have equipment at home, please let me know about that as well.
What are you currently doing to reach your goals?
Is there a special event that you are trying to prepare for? If so, when is it?
What hobbies do you have?
Have you had any injuries or health issues?
If planning to compete: Do you have a show date in mind? A federation?
If planning to compete: Have you competed before? If so, please tell me about your previous prep(s)
Submit
Should be Empty: