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About Andrew
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Home
About
About Andrew
About Grace
About Candice
About Kim
Testimonials
Our Services
Lifestyle Coaching
Personal Training
Contest Prep
Nutrition
Apparel
Galleries
Instagram Feed
Login
Blog
Graces Blog
Andrews Blog
Recipes
Contact
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About
About Andrew
About Grace
About Candice
About Kim
Testimonials
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Lifestyle Coaching
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Start Up Questionnaire
Start-up Questionnaire
Name
*
Email Address
*
Phone
*
Home Address
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
Date of birth
Height
Weight
Starting Date
*
Contest/Event Date
Contest Name or Event Name
Please take your time to complete the following questions to the best of your ability. It is vital that you be as open and honest with us, knowing that all information gathered is strictly confidential.
How can we help you?
Describe your short term and long term goals.
Please list any medical conditions and/or injuries that you have.
Please list any medications and/or supplements you currently take.
Have you had coaching in the past? If so, please explain duration, type, etc.
Are you inquiring for nutrition, training, or a combination of the both?
Nutrition
Do you know how many calories/macros you consume on average daily? If so, please describe.
Protein-Carbohydrates-Fats (please provide as much information as possible) Include foods you love vs. dislike. Attach current nutritional intake if available List out your meals (we want to see what your current eating habits are) Breakfast (time of day and what you consume Lunch (time of day and what you consume) Dinner (time of day and what you consume) Snacks (time of day and what you consume)
Do you have any food allergies? If so, please list.
How would you describe your current relationship with food?
Have you ever been treated for an eating disorder, or have you experienced eating disorder symptoms in the past or present?
Have you had customized nutrition planning in the past? If so, please describe.
How much cardio do you perform each week and what type? (ie. HIIT, circuits, classes, running, include length of time etc).
Describe your current training regime (days per week, split, focus, feel free to attach your current program for simplicity).
Please describe your fitness history
Do you have any limitations to performance? If so, please describe.
What is your preferred style of exercise?
Ex. Classes, crossfit, weight training, plyos, track work etc.
How comfortable are you with basic weight room terminology?
What gym do you train out of? or Please list the equipment available to you (ie. Treadmill, DB’s, power racks, elliptical, etc.)
What exercises do you feel most comfortable with?
Please list any other questions, concerns or information about yourself that will help us develop the best programming for you
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