Name
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First Name
Last Name
Email
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Mobile Number
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Date of Birth
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Please use one of the below methods for me to calculate your body fat percentage.
1. Skin fold method. I need 7 measurements in mm:
chest, abdominal, thigh, tricep, subscapular, suprailiac, midaxillary
2. Dexa / InBody / Evolt / Tanita scan
3. Tape measure method: I need 3 measurements in cms:
neck (widest point) waist (around belly button), hips (around bum)
Describe the goals you want to achieve, and why it is important to you
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In detail describe any of the following: your body composition goal; strength goals; lifestyle goals; habit goals (e.g. to look and feel fit and strong, be more consistent with drinking enough water each day, prioritising meal prep, and getting strong in the gym)
What has/has not worked for you in the past with regards to training styles?
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What is your main obstacle to achieving your goal?
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Are you mostly sedentary, moderately active, or very physically active in your job?
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Are you currently exercising? If yes, please outline a typical week of exercise.
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Do you have any weights training experience, in particular with deadlifts, squats, leg press, bench press, seated military press? Please elaborate.
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What is your 1RM bench press, back squat and conventional or sumo deadlift?
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Heaviest weight for 1 to 10 reps and when. If you are unable to do any of these exercises due to injury please provide similar best performances (eg leg press instead of squat)
Please list all past and current injuries if any.
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How many times per week can you train?
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How did you find out about me?
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Referral
Web search
Facebook
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Thank you for your signing up! I will be in touch within 24hrs.
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