Personal Training Interested in working together? Fill out some info and I will be in touch shortly! I can't wait to hear from you! Name * First Name Last Name Date of Birth * MM DD YYYY Height: * In Feet/inches Weight: * In Pounds What phone number is best to text/call you with? * Country (###) ### #### Email Location (City & State) * What style of diet is preferred? * Macros Meal plan with options MOST IMPORTANTLY: What is your primary goal? Maintenance Weight Loss Competition If competing, what division do you plan to compete in? 1. How many meals do you want to eat? 5? 6? More? Less? This is counting shakes!! 2. Do you want to use any protein shakes? Yes No 3. Do you want to use any dietary supplements? Yes No I currently use supplements Which supplements are you currently taking? 4. What proteins do you like? (chicken, egg whites, tilapia, cottage cheese, etc...) list the top 5 5. What carbohydrates do you like? (rice, potatoes, oats, fruit, etc...) list the top 5 6 What fats do you like? (almonds, peanut butter, etc....) 7. How much time do you have to workout? How many days a week? 8. What are you currently doing for excercise? How much cardio? What do you prefer for cardio? Intervals or steady pace? 9. Do you have any injuries we need to work around? Are there any body parts that you don't want to train? 10. Are you allergic to anything? 11. Which food option do you prefer? All clean food Once a week cheat meal 12. Please list an average day of eating and when you workout. (PLEASE LIST THE AMOUNTS OF THE FOODS) 13. If competing, what is the name of the show and date? 14. Do you take any medication? 15. How active are you on a normal day? desk job? Thank you! I will be reaching out to you soon. Please take a look at our digital program to further enhance your goals.-Michelle