When is your preferred MONDAY start date? Supplements used and brand (if any) including vitamins, minerals, protein, preworkouts, etc.:
What time do you wake: 12:00 AM 12:15 AM 12:30 AM 12:45 AM 01:00 AM 01:15 AM 01:30 AM 01:45 AM 02:00 AM 02:15 AM 02:30 AM 02:45 AM 03:00 AM 03:15 AM 03:30 AM 03:45 AM 04:00 AM 04:15 AM 04:30 AM 04:45 AM 05:00 AM 05:15 AM 05:30 AM 05:45 AM 06:00 AM 06:15 AM 06:30 AM 06:45 AM 07:00 AM 07:15 AM 07:30 AM 07:45 AM 08:00 AM 08:15 AM 08:30 AM 08:45 AM 09:00 AM 09:15 AM 09:30 AM 09:45 AM 10:00 AM 10:15 AM 10:30 AM 10:45 AM 11:00 AM 11:15 AM 11:30 AM 11:45 AM 12:00 PM 12:15 PM 12:30 PM 12:45 PM 01:00 PM 01:15 PM 01:30 PM 01:45 PM 02:00 PM 02:15 PM 02:30 PM 02:45 PM 03:00 PM 03:15 PM 03:30 PM 03:45 PM 04:00 PM 04:15 PM 04:30 PM 04:45 PM 05:00 PM 05:15 PM 05:30 PM 05:45 PM 06:00 PM 06:15 PM 06:30 PM 06:45 PM 07:00 PM 07:15 PM 07:30 PM 07:45 PM 08:00 PM 08:15 PM 08:30 PM 08:45 PM 09:00 PM 09:15 PM 09:30 PM 09:45 PM 10:00 PM 10:15 PM 10:30 PM 10:45 PM 11:00 PM 11:15 PM 11:30 PM 11:45 PM 02:30 PM What time do you workout: 12:00 AM 12:15 AM 12:30 AM 12:45 AM 01:00 AM 01:15 AM 01:30 AM 01:45 AM 02:00 AM 02:15 AM 02:30 AM 02:45 AM 03:00 AM 03:15 AM 03:30 AM 03:45 AM 04:00 AM 04:15 AM 04:30 AM 04:45 AM 05:00 AM 05:15 AM 05:30 AM 05:45 AM 06:00 AM 06:15 AM 06:30 AM 06:45 AM 07:00 AM 07:15 AM 07:30 AM 07:45 AM 08:00 AM 08:15 AM 08:30 AM 08:45 AM 09:00 AM 09:15 AM 09:30 AM 09:45 AM 10:00 AM 10:15 AM 10:30 AM 10:45 AM 11:00 AM 11:15 AM 11:30 AM 11:45 AM 12:00 PM 12:15 PM 12:30 PM 12:45 PM 01:00 PM 01:15 PM 01:30 PM 01:45 PM 02:00 PM 02:15 PM 02:30 PM 02:45 PM 03:00 PM 03:15 PM 03:30 PM 03:45 PM 04:00 PM 04:15 PM 04:30 PM 04:45 PM 05:00 PM 05:15 PM 05:30 PM 05:45 PM 06:00 PM 06:15 PM 06:30 PM 06:45 PM 07:00 PM 07:15 PM 07:30 PM 07:45 PM 08:00 PM 08:15 PM 08:30 PM 08:45 PM 09:00 PM 09:15 PM 09:30 PM 09:45 PM 10:00 PM 10:15 PM 10:30 PM 10:45 PM 11:00 PM 11:15 PM 11:30 PM 11:45 PM 02:30 PM What time do you go to bed: 12:00 AM 12:15 AM 12:30 AM 12:45 AM 01:00 AM 01:15 AM 01:30 AM 01:45 AM 02:00 AM 02:15 AM 02:30 AM 02:45 AM 03:00 AM 03:15 AM 03:30 AM 03:45 AM 04:00 AM 04:15 AM 04:30 AM 04:45 AM 05:00 AM 05:15 AM 05:30 AM 05:45 AM 06:00 AM 06:15 AM 06:30 AM 06:45 AM 07:00 AM 07:15 AM 07:30 AM 07:45 AM 08:00 AM 08:15 AM 08:30 AM 08:45 AM 09:00 AM 09:15 AM 09:30 AM 09:45 AM 10:00 AM 10:15 AM 10:30 AM 10:45 AM 11:00 AM 11:15 AM 11:30 AM 11:45 AM 12:00 PM 12:15 PM 12:30 PM 12:45 PM 01:00 PM 01:15 PM 01:30 PM 01:45 PM 02:00 PM 02:15 PM 02:30 PM 02:45 PM 03:00 PM 03:15 PM 03:30 PM 03:45 PM 04:00 PM 04:15 PM 04:30 PM 04:45 PM 05:00 PM 05:15 PM 05:30 PM 05:45 PM 06:00 PM 06:15 PM 06:30 PM 06:45 PM 07:00 PM 07:15 PM 07:30 PM 07:45 PM 08:00 PM 08:15 PM 08:30 PM 08:45 PM 09:00 PM 09:15 PM 09:30 PM 09:45 PM 10:00 PM 10:15 PM 10:30 PM 10:45 PM 11:00 PM 11:15 PM 11:30 PM 11:45 PM 02:30 PM Prescription medications taken (list name, dosage, and what for)
Health issues, physical restrictions, recent surgeries, allergies:
If you smoke and/or drink, how much:
What is your goal for this block?
What is your specific, measurable, realistic goal for our time working together? BE SPECIFIC! Like inches or total pounds lost (realistic is 2lbs a week, 2 inches a week):
What are up to 5 daily habits you want me to add to your dashboard? This can be drink 100-120oz water, take your supplements, self-care, etc. This should NOT include hitting your macros, completing your workouts, and/or completing your weekly check-ins. Those are expectations!
What information about you would be helpful for me as your coach and friend? Notes, extra information, etc. :
Please complete the following section to customize your workout plan
Do you prefer a home or gym workout?
How many days can you commit to resistance training/lifting
What days do you want your workouts programmed for? These can be changed by you on your dash if needed!
How many days can you commit to cardio
What days do you want cardio programmed to?
What is your workout goal for this training block?
Please complete the following section to customize your nutrition plan
Do you tend to prefer/eat more carbs(breads, pasta, potatoes, rice, grains, cereal oats, etc) or more fats (cheese, nuts, nut butters, oils, dairy, etc)
Do you want custom macros or a general portion control guide? This can evolve if you want to start with nutritional awareness/portion control and move into macros later
Do you prefer to track within the Warrior Fitness App or use/sync My Fitness Pal to track?
How many meals can you commit to eating per day (not including a post-workout shake)
Do we have your permission to use your photos for marketing (only front or side view with head removed and no name?)
Thank you for choosing Warrior Fitness for your health and wellness needs. Please note that coaches are NOT licensed nutritionists, dieticians, or mental health professionals. By clicking the button below, you hold Warrior Fitness LLC and all coaches harmless from any liability, illness, injury, or death that may occur during our contracted time or thereafter. Please consult with your physician before starting any weight loss, health, or exercise plan.
Do you acknowledge the above statement?
Don't forget! Go to the link below to schedule your Intake Call.
Please give the coach at least 48-hours to review this upon submission prior to your scheduled call time.
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