Ready to get started? Please complete the following questions so we can personalize your training program. NOTE: At the end of this form, you will asked to upload 2 photos: a front and back picture

  • ABOUT YOU
  • FITNESS HISTORY
  • PROGRAM DEVELOPMENT
  • NUTRITIONAL INFORMATION

ABOUT YOU

Name

Sex

Age

Height (m)

Current Weight (KG)

Email

Mobile

Home Phone

How did you hear about The Muscleworks beach body challenge?

FITNESS HISTORY

Have you been exercising consistently for 3 months?

How long have you been exercising?

Age when you feel like you were in your best shape of your life?

Have you begun an exercise program in the past?

Was it successful?

What, if anything, stopped you from training regularly?

PROGRAM DEVELOPMENT

How much/how often do you perform cardio?

How much/ how often do you weight train?

List any other cardio/sports/activities that you are involved in.

List your your personal goals.(ie. transformation, healthy weight loss, maintain, etc)

Why have you chosen the beachbody challenge?

Realistically, how often are you wiling to exercise?

How long are you willing to spend at each exercise session?

Are there any specific exercises that you are unable to do?(ie. upper body, lower body, etc.)

NUTRITIONAL INFORMATION

Do you monitor your eating habits?

Do you feel that you eat a healthy diet most of the time?

How much water do you drink per day?

How do you feel about diets?

Have you tried any popular diets?(if so please list)

Please feel free to list any additional information that you feel is important.(ie. name of your physician, dietary restrictions, physical restrictions, medical/heart conditions, etc.)

May we use your photo for your transformation comparison on the website and for marketing/ social media purposes?

Front photo taken from straight on.

Back photo taken from behind.