Email * Telephone Number * Height * Current Weight * Age * Goals: *
Check all that apply.
Body Weight Goal: * Goal Completion Date: * Current weekly purposeful exercise: * Very Light - Almost no purposeful exercise Light - 1-3 hours of gentle to moderate exercise Moderate - 3-4 hours of moderate exercise. Intense - 4-6 hours of moderate to strenuous exercise Very Intense - 7+ hours of strenuous exercise Current daily activity level excluding purposeful exercise: * Very Light - Sitting most of the day (ex: desk job) Light - A mix of sitting, standing, and light activity (ex: teacher) Moderate - Continuous gentle to moderate activity (ex: restaurant server) Heavy - Strenuous activity throughout the day (ex: construction work) Dietary Preference: * Anything - No major preferences or restrictions. Will eat practically anything. Mediterranean - Features plant foods, healthy fats, and moderate amounts of lean protein. Paleo - Emphasizes meats, vegetables, and healthy fats. Vegetarian - A plant-based diet, plus small amounts of eggs and dairy. Ketogenic - A high-fat, very-low carbohydrate diet. Full Plant-Based - All plant-based foods. No animal products of any kind. How many meals per day you would like to eat (1-8 meals): * What is your current Fitness Level: * Beginner Intermediate Advanced Collegiate or National Level Professional Do you have any current injuries or are there any exercises you cannot do? *
Enter "none" if you don't have any.
What is your current number of workouts per week? * What is your current length of cardio workouts? * What types of cardio workouts are you currently doing? * What is the number of workouts per week you are willing commit to (Resistance Training and Cardio)? * What are the exact days per week you are willing commit to working out? *
Check all that apply.
What is your favorite type of workouts (free weights, hammer strength machines, cable machines, etc.)? * What is your least favorite type of workout? * What is your favorite type of cardio? * What is your least favorite type of cardio? * On average, how is your mental state and energy levels? Any stressors? * How is your quality of sleep? * Questions? *
Any questions for me? Please number each question separately (1., 2. 3., etc). and include only one question per number.
*** If you are on the "Gold Tier"coaching option, ensure this form and any questions are entered prior to our call. ***