COACHING Name * First Name Last Name Email * Phone * (###) ### #### Instagram Birthday * MM DD YYYY Height * Weight * Occupation What type of coaching are you looking for? * In Person Online Do you prefer to work with a male or female coach? * Male Female What is your fitness goal? * Describe your current diet * Do you have experience tracking macros? * Yes No Are you willing to learn how to track macros? * Yes No How many meals do you eat per day? * 1 2 3 4 5 6 How much water do you drink per day? * How many steps do you take per day? * Do you have an active gym membership? * Yes No Which gym(s) do you belong to? How many times do you exercise per week? * 1 2 3 4 5 6 7 What time of day do you like to train? * Morning Afternoon Night How long have you been weight training? * Describe your current training program * How many hours of sleep do you get each night? * Do you have any past or current injuries? * Do you have any food allergies? * Do you have any dietary restrictions? * Do you have any medical conditions? * Are you currently prescribed any medications? * Yes No Please list your medications Are you currently taking any vitamins or supplements? * Yes No Please list your vitamins or supplements Do you use tobacco products? * Yes No Do you consume alcohol? * Yes No Are you looking to compete? * Yes No What division are you trying to compete in? Bikini Classic Physique Figure Fitness Men's Bodybuilding Men's Physique Wellness Women's Bodybuilding Women's Physique Do you have any experience using PEDs? * Yes No Thank you for getting in touch with us, we look forward to speaking with you!
