Questionnaire — Jackson Peos Fitness

START-UP QUESTIONNAIRE

Please answer all questions and include as much detail as possible to ensure that
I can gather as much information about you as possible to inform the coaching process.

GENERAL INFORMATION

Name

First Name

Last Name

Age

Height (cm)

Weight (kg)

Estimated Body Fat %

Primary Goals

DIET INFORMATION

What food/s do you love?

What food/s do you hate?

Do you have any food allergies?

Do you have any medical conditions/issues that I need to be aware of?

What type of diet have you used successfully in the past?

What is your current diet protocol?

How many meals do you prefer/typically eat per day?

What kind of supplements do you take?

Including dosages and frequency

TRAINING INFORMATION

Any previous/current injuries or niggles?

What type of training program are you following?

No. of days, volume, frequency, intensity, exercises, etc.

Are there any exercises you like/dislike?

What kind of gym do you typically train at?

e.g. large commercial gym or home gym.

How long do you typically have to dedicate to your training sessions?

e.g. 45-60 minutes weekdays and 60-90 minutes on weekends

What time of day will you typically train?

e.g. Mornings between 7-8 am Mon - Fri and 2-3 pm on weekends

Do you do any form of cardio or formal activity?

If so, please describe

Is there any form of cardio that you prefer to do?

If so, please list and describe which cardio modalities you enjoy or don’t enjoy.