Name Age Height Body Fat % (If known) Phone Number Email Start Weight Goal Weight How many times a week do you do cardio? How long are your cardio sessions? What kind of cardio? (Treadmill/Elliptical/Track etc.) What intensity? (If known) Low intensity: Heart Rate between 80-100 bpmModerate intensity: Heart Rate between 100-130 bpmHigh intensity: Heart Rate between 130-160+ bpm How many times a week do you workout with weights? (If you do fill out the rest) At the gym? What rep ranges? What intensity? (If known) Low intensity: Heart Rate between 80-100 bpmModerate intensity: Heart Rate between 100-130 bpmHigh intensity: Heart Rate between 130-160+ bpm How would you rate your skills with weightlifting exercises? Very little experiencesome experiencemonths of experienceyears of experience Use this space to explain in more detail anything you feel is important regarding the above question Do you own a food scale or weight scale? What is your desired look? Please explain (Example: athletic, not too bulky, low body fat etc.) Are you comfortable working out in front of others? What are your target muscle groups to increase in size or strength? Is your nutrition in a place where you can achieve your body goals? If no, explain Do you have any questions for me about exercise programming? Send
