Email

City & Country of Residence

Which programming package would you like to inquire for

What is your current occupation

What are you standard work hours (if you're a shift worker, please outline)

How would you rate your current stress levels and where does this stress come from

(i.e work commitments, family commitments, financial stress etc.)

Do you currently track your daily macronutrient intake?

If so, please elaborate on your current protein, carbohydrate and fat intake

Please outline your full training history. (please include when you started and different yearly goals and achievements throughout the years) *

Please include, when you began training, your previous goals, your previous achievements etc

Please outline your current training routine. Include your weekly training split.

Please include, your weekly training breakdown, the majority of exercises that make up your training sessions and your CURRENT strength levels on these exercises

What are your short term goals (3-6 months)

What are some of your longer term goals (12-24 months)

Current injuries?

Please list all current aches/pains/injuries. Please include, location of pain, type/Sensation of pain, how long you've been experiencing pain, notable triggers of pain, any treatments you have undergone that have relieves pain.

Previous Injuries

Please list all current aches/pains/injuries. Please include, location of pain, type/Sensation of pain, how long you've been experiencing pain, notable triggers of pain, any treatments you have undergone that had relieves pain, a time frame in which you experienced pain (e.g. Nov 2018-Feb 2019)

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