ATHLETE GENERAL INFORMATION
Name *
Name
Phone *
Phone
If applicable
http://
If applicable
Discounts are available
Daily Activity Level
ATHLETE BIOMETRIC INFORMATION
mm/dd/yyyy
Feet / inches or meters
lbs or kg
Are you currently maintaining, gaining or losing weight?
ATHLETE GOALS
Past 12 week timeframe
Please be specific
NUTRITION, TRAINING & CARDIO
PLEASE PROVIDE AN HONEST OVERVIEW OF YOUR CURRENT NUTRITION, TRAINING & CARDIO PROTOCOLS. THERE IS NO RIGHT OR WRONG ANSWERS JUST HELPFUL INFORMATION TO SEE WHERE YOU ARE AT.
NUTRITION
Have you ever tracked your calories or macronutrients (protein,carb,fat) before? *
Include ALL meals, snacks and water intake.
TRAINING
Are you doing any splits? ie. Monday - Legs, Tuesday - Back etc...
What do you have access to for gym equipment?
CARDIOVASCULAR TRAINING
How many days a week do you perform cardio?
Low intensity, medium intensity, high intensity, circuits...
MEDICAL INFORMATION
Examples include: Type II Diabetes, Hypertension, Chronic injuries, Surgeries, etc..
Are you pregnant or nursing? *
GENERAL INFORMATION
Hours / Night
Are you currently working with a trainer? *
Communication, training methods, support, etc.
mm/dd/yyyy