Name:
Age:
Gender:
Height (cm):
Weight (lbs):
Waist (cm):
Bodyfat % (if known):
Email:
Telephone:
Please describe your primary fitness & dietary
Please include any secondary goals you have:
Please detail here what exercise you have done in
Please outline here what exercise you are
Where abouts would you like to train? For example,
Please list all the equipment you have access to.
How many days per week would you be prepared to
Do you have any medical problems or injuries which
Do you smoke?
Please outline what kind of foods you typically
Do you skip meals, for example breakfast, or do
Do you snack between meals? If so, how often and
How many glasses of water would you say you drink
Do you drink Tea or Coffee?
Over the last 2-3 months, would you say your
Finally, please include any additional information
