ONLINE FREE CONSULTATION Personal Details Your Name (required) Date Of Birth (required) Height Weight Your Email (required) Phone (required) Occupation Street Address Suburb Post Code Weight Training Experience How many years of training When has been your best and worst physical condition (body weight, body fat percentages, etc) Current Training Location Current Training Split (e.g. Monday- chest and arms, Tuesday- legs etc) Equipment Limitations Lifestyle/Time Limitations (work commitments, family etc) Other activities including sports or cardio Current Injuries/Insufficiencies Old Injuries Physical Limitations General Health & Medication Health Conditions/Considerations Medications Food Allergies Current Daily Food intake Meal 1 (Time, foods and amounts eaten) Meal 2 (Time, foods and amounts eaten) Meal 3 (Time, foods and amounts eaten) Meal 4 (Time, foods and amounts eaten) Meal 5 (Time, foods and amounts eaten) Meal 6 (Time, foods and amounts eaten) Water Intake Cheats/Snacks Alcohol Supplements Preferred Food Sources (List the foods that you would prefer to eat regularly) Goals Short Term Long Term Current Body Composition Instructions Please attach current/recent photos of your physique. A set of front, side, and rear view photos would be most suitable. These photos will remain confidential unless otherwise stated or requested. Example attached below. Note Please limit each photo file size to 1mb or under to ensure a successful completion. Upload Photo – Front Upload Photo – Side Upload Photo – Rear
