Coach Mike Collins - Questionnaire
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Full Name *
Gender *
Required
Age *
Height *
Current Weight *
Goal Weight *
Overall Goal?
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How would your rate your overall daily activity level? *
Rate your experience with working out. *
Beginner
Advanced
How many days will you commit to exercising? *
Job Description *
How much time can you dedicate to each workout session? *
Home workouts or gym workouts? *
What foods do you dislike or are allergic to? *
What healthy foods do you enjoy? *
What does your current diet look like? (Be sure to include any drinks such as juice, soda, etc.) *
Are you able to pack your meals and eat them at work? *
Are you familiar with tracking macros using an app such as MyFitnessPal? *
Do you have any dietary restrictions? (If Yes, please list below)
Are you currently taking any medications or supplements. (If yes, please list below)
Are you open to trying plant-based proteins and new foods? *
How many hours of sleep do you average per night?
Do you have any injuries or medical concerns that I should consider while putting your plan together? *
What is the biggest issue you feel has held you back from achieving your goals? *
Additional Notes
Instagram Name
Email Address
Phone Number
Best way to contact you? *
Best time of day to contact you? *
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