Name Name: Pronouns: Email Address * Height: Age Body weight: Instagram @ Sports Background: Number of years lifted weights consistently: How many days a week are you able to workout and what days of the week? What type of gym and equipment do you have access to? Squat Safety Bar, Belt Squat, Glute Ham Raise, Back Extension, Leg Press, hack squat, heavy dumbbells, bands, chains, etc? Any movements that bother you? List any prior and current injuries and recovery status: Have you ever competed in either strength OR physique competitions, if so how many and when? What is your current training frequency or split and program? Do you understand the "RPE Scale"? Are you experienced with tracking your food? If so, what does your current diet look like? If you know your current macros, please list: What are your short-term (1-3 months) and long-term (6-12 months) goals with regard to your nutrition? Please provide information on your health that could be of importance to your goal: (i.e. history of thyroid dysfunction, elevated fasting blood glucose, on medications that affects appetite/bodyweight e.t.c.). What would you like me to help you with? Discuss other concerns not addressed in the above questions:
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