Questionnaire Form

Name *

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Email *

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Age *

Height *

Weight *

What are your fitness goals? If doing a competition prep please include date, name and location of the show *

and the do

What time do you wake? What time do you go to bed? When do you weight train? * *

What type of cardio do you mostly do? How long and how often per week? * *

Please provide a sample of your typical daily food intake. Include the time of your first meal and a breakdown of everything you eat throughout the day (meals, snacks, beverages, etc.) along with approx times. *

Where do you train? If at home, what equipment do you have? (You can skip this if you didn’t purchase workout plans, put "skip" in the field) *

List any food allergies and current supplements, including vitamins *

List any foods that you avoid such as meat, dairy, gluten etc. * *

List daily beverage intake, including alcohol, and how much of all beverages is consumed. *

How did you hear about me? * *