| * Name: | |
| Email: | |
| * Birthdate | |
| * Phone number | |
| * Where do you work? | |
| * Hours of work / days per week | |
| * Work contact information | |
| Medical History (any diagnosis/allergies/recent surgeries etc) | |
| Musculoskeletal History (any back/neck pain, injuries etc when? Is it resolved?) | |
| Activity History (describe your exercise routine in the last 3 mos in detail ex – exercise split/training days/wts, reps, cardio) | |
| * Nutrition History (describe in detail a typical off season daily diet – like what you ate yesterday including time of day and amounts of food) | |
| * What is your current height/weight: | |
| What is your contest history (weight class/weight/placing) | |
| If you have never competed before, what got you interested in the sport? | |
| What supplements did you use last year in the off season (List all over the counter, pro hormones, anabolics, diuretics, fat burners etc) how did your body respond? (good/bad) | |
| How did you feel the day of your last contest? | |
| What do you think you did right for your last contest prep? | |
| Looking back, do you wish you would have done anything different for your last contest prep? | |
| What are your goals for your next contest? | |
| What is the name of your next contest and When and Where is it? | |
| Why are you looking for trainer and what qualities are you looking for IN a trainer? | |
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