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Name
*
First
Last
Email
*
Important!! – Please use the same email address as you did when signing up with us.
What's your age?
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What is your biological sex?
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Male
Female
How tall are you?
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Select
4'
4'1
4'2
4'3
4'4
4'5
4'6
4'7
4'8
4'9
5'
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
6'
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
7'
How much do you weigh (in lbs)?
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What are your fitness goals?
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Select
Low Impact
Toning
Bulking
Weight Loss
Other goals if not listed above
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How often do you exercise per week?
0 x per week
1-3 hours of moderate exercise
3-4 hours of moderate exercise
4-6 hours of moderate exercise
7+ hours of strenuous exercise
Rate your ability to perform cardio exercises
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Not able to at all
I am restricted in my intensity and ability but as long as it is modified I can do it
My cardiovascular fitness is pretty poor but I want to improve it
I can perform any cardio exercise but I just need to improve on my endurance and stamina
I am in great cardiovascular shape and love doing cardio
Rate your experience with exercise
Not experienced at all
Some experience with basic exercises
I am pretty experienced but could always learn more and continue to improve
I am very experienced with exercise and familiar with the majority of equipment
I am basically a pro. I should be training you
What equipment do you have access to?
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Select
I have some free weights and resistance bands at home
I have a membership to a gym which has all the equipment I need
How many days do you want to workout each week?
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Select
3x per week
4x per week
5x per week
6x per week
Do you have any existing injuries or conditions that we should be aware of while building your training plan?
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Are you a smoker?
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Yes
No
Occasionally
Do you smoke marijuana?
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Yes
No
Occasionally
How Quickly Do You Want To Reach Your Goal?
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Select
Normal Pace (not too intense)
A Little Quicker (ideal for most people)
Super Quick (for people with tremendous will power)
Do you have any dietary restrictions or allergies?
*
Is there a specific dietary program you wish to be on?
*
Select
Dairy Free
Full Spectrum (No Restrictions)
Gluten Free
Vegan
Pescetarian
Keto
Low Carb
Mediterranean
Paleo
Do you want to do intermittent fasting?
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Yes
No
Describe how active you are each day (not including purposeful exercise)
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Very Light – Sitting most of the day. (example: desk job)
Light – A mix of sitting, standing and light activity. (example: teacher)
Moderate – Continuous gentle to moderate activity (example: restaurant server)
Heavy – Strenuous activity throughout the day (example: construction work)
What best describes your weekly workouts?
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Non-existent
Mainly light cardio
High intensity cardio
A mix of light cardio and weights
A mix of strenuous cardio and strenuous weights