Unrivalled Fitness Plans. Unparalleled Personal Training. Inspired by Olympic Athletes.

Congratulations!

Before I contact you directly to start our plan I require you to complete the 2 sections of the questionnaire below. I want to find out as much as possible about your diet and fitness history before I complete your plan.

Fitness and diet plans will take up to 5 working days to complete. I will be in touch through your personal email with your login details to my members area once the plan is ready to view.

Personal Details

Your Name

Your Email

Address

Age

Gender

Scale Weight:

Height:

Please describe your current nutrition knowledge level

Physical Analysis

Physical training covers all aspects of fitness you conduct.

1. Please describe what current training/sport you do (if applicable) E.g. Weight Training/Cardiovascular exercise/MMA/rugby

2. Please describe any current or previous injuries you have obtained that may affect your physical training;

3. Please provide a chart with the type of exercise you normally perform each day with the duration, e.g. Monday - Weights (evening) - 1.5h; Tuesday - Cardio (lunch time) 30m...

4. Please describe your goals in relation to a physical training program. Remember to use the SMART (page 1) principle when setting these;

5. To date, what is the main factor(s) holding you back from achieving your training goals?

6. Exercise Information - Please rate the ability in the following exercises (select the option that corresponds with your ability; 1- UNFAMILIAR; 2-NOVICE; 3-INTERMEDIATE; 4-ADVANCED):

Barbell Squats

Barbell Deadlifts

Barbell Bench Press

Bent-over Barbell Row

Barbell Shoulder Press

Pull-Up

Barbell Hack Squat

Snatch

Clean

Nutrition Analysis

1. Please describe what your favorite healthy food choices are. Include what your favorite protein; carbohydrate and fat source is E.g. Tuna, Pasta and Eggs.

2. Please highlight any foods you do NOT like:

3. Please describe any allergies and/or intolerances you may have:

4. Are there any other foods to which you’re particularly sensitive (i.e., which cause excessive gas, bloating, stuffiness)?

5. Please describe your current supplements (i.e. protein powder, creatine, vitamins/minerals) intake. If you do not currently take supplements, are you willing to introduce some beneficial ones?

6. Please describe your goals in relation to a nutrition program. Remember to use the SMART (page 1) principle when setting these.

7. To date, what is the main factor(s) holding you back from achieving your nutrition goals?

8. Please provide a timetable with your most normal daily schedule, listing the time you wake up, work, have breaks, eat, work out and go to sleep:

9. Do you currently take any medication?

10. Do you get food cravings, if so, what for?

11. Would you say you have a good relationship with food?

Please check that all the information that you have provided is correct. Once your happy, submit your details!