top of page
About
LVLUP Framework
Testimonials
Coaching
Apply Now
Log In
Step 3: Info For your program
BCFIT NEW CLIENT FORM
First Name
Email
Age
Current Height (ft' in'')
Last Name
Phone
Gender
Current Weight (lbs)
Do you have any current orthopedic issues that might impede progress? (for example: shoulder, knee, hip pain)
Please list any previous injuries and or surgeries that I should know about.
For females only, do you have regular menstrual cycles? (If this does not apply to you, put N/A)
Do you know how many calories you eat in a day? If so, how many?
How many meals do you eat a day?
*
Less than 2
2-3
3-4
4-5
5-6
6+
What is your average caffeine consumption?
*
Less than 50mg/day
100-200mg/day
200-300mg/day
300-400mg/day
400+mg/day
None
I dont know
Do you have any food allergies?
Please list any vitamins, minerals and or other supplements you are currently taking.
Have you ever or are you currently using a cycle of anabolics?
How many days a week can you exercise?
*
1-2
2-3
3-4
4-5
5+
Please describe your current training program if any (split, exercises, sets, reps)
How many days a week can you do cardio?
*
1-2
2-3
3-4
4-5
5+
How long can you do cardio for?
*
10-20 minutes
20-30 minutes
30-40 minutes
40+ minutes
None
I dont know
How many hours of sleep do you normally get?
*
Less than 4 hours
5-6 hours
6-7 hours
8+ hours
I dont know
Any additional comments?
Submit
bottom of page