CERTIFIED Nutrition Specialist
CERTIFIED Sports Nutritionist
CERTIFIED Advanced Fitness Trainer
CERTIFIED Strength & Conditioning Specialist
Biomechanics / Kinesiology - Human Kinetics
DEGREE in Exercise & Sports Science
F I T N E S S   M O D E L
United States
NAME
HEIGHT
WEIGHT
GENDER
CITY & STATE
EMAIL
QUES 1: DO YOU EXERCISE? IF YES, WHERE DO YOU WORKOUT - GYM, HOME OR OUTDOOR?
QUES 2: HOW LONG HAVE YOU BEEN WORKING OUT?
QUES 3: HOW MANY TIMES A WEEK DO YOU WORKOUT? 
QUES 4: DO YOU WORKOUT AT MORNING, AFTERNOON OR EVENING? WHAT TIME?
QUES 5: DO YOU HAVE ANY MUSCLE INJURY? IF YES, PLEASE EXPLAIN?
QUES 6: WHICH IS YOUR WEAKEST BODY PART? WHICH IS YOUR LEAST FAVORITE MUSCLE?
QUES 7: CAN YOU TRAIN TWICE A DAY? 
EXERCISE INFORMATION
CUSTOMIZE FITNESS PLAN FORM
AGE
GOAL (WEIGHT LOSS OR FAT LOSS OR MUSCLE BUILDING)
DIET INFORMATION
QUES 1: DO YOU EAT VEG OR NON-VEG FOOD?
QUES 2: WHAT IS YOUR MOST FAVORITE AND LEAST FAVORITE FOOD?
QUES 3: HOW MANY TIMES A DAY DO YOU EAT?
QUES 4: HOW MANY TIMES DO YOU EAT OUT (RESTAURANTS, FAST FOOD, ETC)?
QUES 5: DO YOU HAVE ALLERGY FROM ANY FOOD? LIKE; DAIRY PRODUCTS, WHEAT OR MEAT?
QUES 6: DO HAVE REGULAR CONSTIPATION OR DIARREA PROBLEM (LOOSE MOTIONS)?
QUES 8: IF NOT, ARE YOU WILLING TO BUY THEM? 
QUES 7: DO YOU USE ANY HEALTH SUPPLEMENTS? IF YES, NAME THEM?
WAIST
PERSONAL INFORMATION
HIP 
STOMACH 
CHEST
ARM
THIGH
inch
inch
inch
inch
inch
inch
QUES 1: DO YOU DRINK ALCOHOL? HOW MUCH AND HOW MANY TIMES A WEEK?
QUES 2: HOW YOUR DAY GOES? HOME, OFFICE, WORK, DRIVING, TRAVELING, ETC?
QUES 3: WHAT TIME DO YOU WAKE UP AND WHAT TIME YOU SLEEP?
MESSAGE
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QUES 4: DO YOU HAVE ANY HEALTH PROBLEMS? DIABETES, CHOLESTEROL, BLOOD PRESSURE, HORMONE, ETC?
BODY FAT 
CALF
inch
%
QUES 5: WHAT YOU NORMALLY EAT AT BREAKFAST, LUNCH, SNACK AND DINNER?? JUST A ROUGH IDEA.
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PAYMENT ID #
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