As you go through the following survey, please be detailed and provide as much information as possible; some questions may be uncomfortable to answer, but we are not here to judge.

Full Name *

Email *

Date of birth *

Weight *

Height *

Gender *

Male

Female

What do you do for a living / non exercise activity throughout the day? *

Is your daily routine consistent or sporadic? Please elaborate. *

Do you know your average daily step count? If so, how many steps do you generally take a day? *

Do you play any type of sport? If so, what do you play and how often? *

How many years of experience do you have training in the gym? *

What is your current workout regiment? Training split? Rep range? Cardio protocol? *

Do you workout at the gym or at home? If at home, please list equipment you have available. *

How long does a typical workout last for you? *

Do you take a long rest time between sets (2+ minutes)? *

Yes

How many days a week can you workout? *

Have you worked with a trainer / coach in the past? If so, describe your experience. How could they have been better? *

How many hours of sleep do you generally get a night? *

Would you consider your sleep to be good quality? *

List at least 3 of your most important health & fitness goals. *

Goal 1
Goal 2
Goal 3
Additional Goals

Do you have a smart watch? If not, would you be willing to get one? *

List all food and medication allergies/sensitivities that you are aware of. *

Are you currently on any kind of nutrition plan? If so please elaborate. Calories? Macros? Did you feel full on this plan? ect. *

List some of your favorite "unhealthy" foods to eat. *

List some of your favorite "healthy" foods to eat. *

How many times a day would you want to eat? *

List all foods that you will not eat. *

*Females Only* (If male put "NA") Are your menstrual cycles regular? Do you suffer from bloating, PMS, or pain? *

How is your mental state? Do you suffer from anxiety, depression, self doubt, ect? *

Have you had any serious injuries in the past? Did the injury require surgery? *

Have you ever been diagnosed with any disease or condition that we should be aware of? *

Do you currently take any prescription medication? If so, what do you take, what dose, and why? *

Do you currently take any supplements? If so, what do you take and why? *

Have you ever taken or are currently taking any anabolic steroids or other performance enhancing drugs? If so please elaborate on usage history. *

Do you drink alcohol or use any recreational drugs? If so, what do you use/drink and how often? *

Do your energy levels seem lower than they should? Brain fog? Constantly fatigued? ect. *

Have you had bloodwork done in the last 6 months? If so please send us a copy (see following question). *

Do you have any documents/files that will help us build your custom plan? ex. blood work, current training plan, current nutrition plan, ect. *

Upload relevant files here