PRE EXERCISE QUESTIONNAIRE NAME * First Name Last Name EMAIL * PHONE NUMBER * (###) ### #### HEIGHT CMs WEIGHT Kgs AGE WAIST MEASUREMENTS measure the smallest part of your waist all the way around in cm BELLY BUTTON MEASUREMENTS measure directly around your belly button HIP OR CHEST MEASUREMENTS Hip circumference (for females) Chest circumference (for males) OCCUPATION do you have a high energy job? TRAINING MOST IMPORTANT GOAL STRENGH MUSCLE GROWTH FAT LOSS POWERLIFTING BODY BUILDING COMP MINDSET AND LIFESTYLE BE MORE SPECIFIC why is this goal so important? give as much detail as possible ANY OTHER GOALS? give as much detail as possible WHAT DOES YOUR CURRENT TRAINING LOOK LIKE? how many days do you train? what is your training split? details about any cardio exercise HEALTH AND INJURIES please write down and health issues or injuries that may effect training. please give as much detail as possible WHAT DO YOU EXPECT FROM YOUR COACH NUTRITION WHAT DOES YOUR AVERAGE DAILY DIET LOOK LIKE Please provide as much detail as possible here e.g breakfast, snack, lunch, snack, dinner, snack DO YOU HAVE A HEALTHY RELATIONSHIP WITH FOOD? YES NO PROVIDE MORE DETAILS FROM QUESTION ABOVE DO YOU DRINK ALCOHOL no 1x + per day 1x per week 3x + per week 5x+ per week DIETARY REQUIRMENTS HAVE YOU TRACKED CALORIES BEFORE? YES NO ANY QUESTIONS?? Thank you!
