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First name

Last name

Phone

Birthday

Month

Day

Year

What's your overall goal?

Is there a time frame for your goal? (elaborate)

Starting Weight (in lbs)

Goal Weight (if applicable)

How long have you been training/lifting

Job activity level:

Days per week you’ll be able to be in the gym(I will never ask for 7 days, and rarely 6):

Current exercise/training hours per day:

What time of the day do you typically train?

Do they have plate loaded machines at your gym?

What gym do you have access to?

Briefly explain what equipment your gym has to offer. If I can look up the gym or have been there I can easily work a program based on what I know to be there. Don’t need to list everything, if I plan something you don’t have access to, just let me know.

Are there any training limitations/injuries?

What exercises/movements do you enjoy?

What body parts do you consider to be strengths & weknesses?

What is your current cardio routine?

Current supplement use (if any):

Current eating habits: (any diet structure? If yes, what are your macros?

How many meals per day do you have time for?

Do you prefer a set daily meal plan with all food sources and amounts? Or flexible dieting through tracking macros/calories of what you eat?

Preferred clean foods & foods that don't sit well with you:

full responsibility for any and all injuries and issues related or unrelated to any advice from CTJ Fitness. By signing you also agree that you understand not to do anything you are uncomfortable with and you understand that seeking advice from a physician before using a training/nutrition program is recommended. You also understand that any of these programs are not meant to replace any medical advice or substitute use of a physician. By signing below you agree

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