Full Name
*
Date of birth
*
Email
*
Phone
*
Height (cm)
*
Weight (kg)
*
Do you have any medical conditions or injuries I should be aware of?
*
Do you have any medical conditions or injuries we should be aware of?
Yes
No
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If yes, please specify:
*
Are you currently on any medications or treatments that may affect your training plan?
*
Are you currently on any medications or treatments that may affect your training plan?
Yes
No
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Briefly describe your main goals and challenges you’d like to work on?
*
How many times a week are you committed to train?
How many times a week are you committed to train
3 x
4-5 x
5-6 x
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What is your occupation?
What hasn't worked well for you in the past? e.g., time, injuries, motivation, routines):
*
Do you experience any of the following?
*
Do you experience any of the following?
Chest pain during physical activity:
Dizziness or fainting:
Joint or bone problems
Other symptoms or conditions:
None of the above
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How many hours of sleep do you get on average per night?
*
Are you currently tracking your calorie/macronutrient intake? If yes- what method/app do you use?
*
Do you have any dietary preferences or restrictions? (e.g., vegetarian, allergies):
*
How many units of alcohol do you consume per week?
*
Is there anything else I should know to design the best program for you?
*
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