What I will need from you to get started

Name

E-mail Address

Phone Number

City, State, Zip

1) Your current height / bodyweight

2) A round about figure on body fat levels (does not have to be exact) above 15% or below?

Above 15% BF  Below 15% BF

3) How many days per week you train (workout) and the amount of time you are training

4) If you are sedentary, moderately active, or very active

5) A list of what you’re eating now in 1 day, how many meals and what each meal consists of

6) What you cannot eat, Food allergies, or just don't like to eat

8) Are you 18 yrs of age

 Yes   No

9) How long have you been following an Exercise Program? (Yrs/months)

10) Do you currently use protein shakes?

Yes   No

11) What are your primary goals you would like to accomplish with your healthy food program,

Examples: Muscle gain, fat loss, increase in sports performance, increase in energy levels?

  In consideration of gaining access to participate in activities associated with Expect 2 Get Fit – in home personal training. I do hereby waive, release, and forever Discharge Expect 2 Get Fit in-home personal training and its officers, agents, employees, representatives, executors, and all others from any and all responsibility or liability for injuries or damages resulting from my participation in any activities in this program.

(Please, Type in your full name and date)

Full name

Today's Date