Gym Firebrand Online Training
To get started Training now, answer each question as honest as possible. I will collect data and this will help me create a custom Fitness plan for you. Once you send it, I will be in contact with you within 24hrs.

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Email *
Basic Information
Name *
Height *
Weight *
Age *
Do you consider your jobs and work as physically active? Describe it. *
How long do you sit each day? *
How many hours per day do you spend sedentary, not moving? *
What are you sleep habits like? *
Are there any other lifestyle habits you want me to be aware of? *
Nutritional Planning
Details
On a scale of 1-5, please rate the amount of stress in your life from work. *
Less Stress
Very Stressed
On a scale of 1-5, please rate the amount of stress from family and social life. *
Less Stress
Very Stressed
On average, when do you go to bed and wake up? *
Do you find yourself hungry before bed? *
Do you take vitamins or other nutritional supplements in the morning? *
Do you eat protein within 20-30 minuets after waking up in the morning? *
Have you ever kept a food log? *
Have you ever taken pictures of your food? *
Do you know how to track calories? *
Have you ever Yo-Yo dieted? *
Health Notes
Brief health history
Do you suffer any pain?
Are you sensitive to any foods? *
Do you have frequent headaches?
Are you currently pregnant? *
Do you have high blood pressure? If yes, explain. *
Do you have high Cholesterol? If yes, explain. *
Have you ever had surgery? If yes, explain. *
Do you experience fatigue ? *
Have you ever been advised to avoid exercise by a physician? If yes, explain. *
Does anyone in your family suffer from any cardiac conditions ? If yes, explain. *
What are you allergic to? If yes, explain. *
Are you currently taking medication? If yes, explain. *
Any health issues that havent been discussed yet? If yes, please explain. *
Have you ever tested your Basal Metabolic Rate? *
Does a high carb snack or meal, with lots of veggies, bread, toast, cereals, rice, fruits, grains or potatoes as the main food source satisfy or stimulate your appetite?? *
Do you notice that you gain a lot of weight when you eat red meat, or lose weight? Do you look slimmer in the mirror or do your clothes fit easier? *
Do you constantly look forward to the next meal, frequently thinking about foods and what you want to eat? *
What is your appetite like at breakfast? *
What is your appetite like at Lunch? *
What is your appetite like at Dinner? *
Do higher fat foods and/or higher protein foods such as dark meats, avocados, cream, butter, or coconuts within 1-2 hours of bedtime help you sleep better? *
If you ate a large salad with some low-fat meat like chicken breast for lunch (versus a higher fat meat like a hamburger patty), how would it affect your productivity the rest of the afternoon? *
How do you feel after you eat steak? *
At Thanksgiving or a meal where you eat turkey, assuming all the turkey is moist, if you prefer white meat give yourself a 1, dark meat a 10, and no preference a 5 *
Required
Describe Breakfast *
Describe Snacking habtis *
Describe Lunch *
Describe Dinner *
Describe Dessert *
Describe your pre training nutritional habits, if any. *
Describe your post training nutritional habits, if any. *
Describe all nutritional supplements you are currently using. Include multi-vitamins, sport supplements, electrolytes, and any special juices, pills, capsules or tablets *
How much water do you drink a day? *
What is your favorite food? *
What food do you hate the most? *
Optimally, how many meals woudl you prefer to eat per day? *
What is your favorite guilty pleasure food? *
What is your favorite protein food? , Beef, Chicken, Turkey, Fish, eggs, powder etc? *
What is your favorite carbohydrate food sources do you like? Oats, potatoes, rice, bread, pasta etc? *
What Fat source do you prefer? Olie Oil, Mcts, avocados, nuts, peanut butter? *
What Fruits do you enjoy? Berries, bananas, grapes etc? *
What green veggies do you enjoy? Broccoli, asparagus, edamame, kale, spinach, etc? *
Do you ever have heartburn, gastrointestinal distress, or stomach problems? If yes, please explain *
Please describe any religious, ethical, or logistical limitations regarding nutrition *
Tell me about your goals, why you decided to do this, and why and how you're going to succeed? *
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