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Comprehensive Client Information Sheet
Instructions: This is your comprehensive client information sheet. With this sheet, we will ask you to provide some relevant personal information. The answers to these questions are essential in order to allow us to design an optimized individual fitness program for you. Please answer all questions in the most accurate manner possible while being as concise as possible.

Disclaimer. Please recognize the fact that it is your responsibility to work directly with your physician before, during, and after seeking fitness consultation. As such, any information provided is not to be followed without the prior approval of your physical. If you choose to use this information without the prior consult of your physician, you are agreeing to accept full responsibility for your decision.

Basic Information
1. What is your gender? *
2. What is your age? *
Your answer
3. What is your date of birth (month/day/year) *
Your answer
4. What is your height? *
Your answer
5. What is your weight (measured as of this morning?) *
Your answer
6. What is your body fat percentage (have this taken before submitting this sheet) *
Your answer
7. Please provide the following skin fold measures (mm).
Abs *
Your answer
Triceps *
Your answer
Chest *
Your answer
Mid-Axillary *
Your answer
Subscapular *
Your answer
Suprailiac *
Your answer
Thigh *
Your answer
8) Please provide the following girth measurements (in or cm).
Neck *
Your answer
Shoulder *
Your answer
Waist *
Your answer
Thigh *
Your answer
Chest *
Your answer
Biceps *
Your answer
Hips *
Your answer
Calf *
Your answer
9) What are your specific goals?
Ranks these goals according to importance with 1 being the most important and 8 being the least.
Improved Health *
Your answer
Increased Strength *
Your answer
Increased Endurance *
Your answer
Increased Muscle Mass *
Your answer
Sport Specific* (Please provide the sport or specific event you are training for.) *
Your answer
Increased Power *
Your answer
Fat Loss *
Your answer
Weight Gain *
Your answer
10) Is there a specific timeline for achieving a specific goal? *
Your answer
11) Which of the two are of greater importance? *
Explain answer to question 11 *
Your answer
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