General
Health Information
First
Name:
Last
Name:
Age:
Gender:
[
Please Select ] Male Female
Height
(ft/in):
Weight
(lbs):
Occupation:
Hometown:
What
is your fitness level?
[ Please Select ] Beginner
Intermediate Advanced
What
is your primary fitness goal?
[ Please Select ] Lose
fat (weight loss) Build lean
muscle (bulk up) Both
(drop fat/build lean muscle)
What
is the biggest problem area on your body?
[ Please Select ] Hips/Thighs
Butt Stomach/Love
Handles
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you like to receive our FREE newsletter?
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Address (must be valid to receive analysis):
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did you find us?
If
you found us through a search engine, what were you searching for?
Exercise
Information
How
many days per week do you perform resistance training?
[ Please Select ] 1-2 days
2-3 days 3-4 days
4-5 days I Don't
Weight Train
What
is your main goal when you perform resistance training?
[ Please Select ] Gain
muscle mass Gain strength Shape
your muscles Increase flexibility
Do
you have a hard time finding new workout routines which incorporate many different
exercises?
[ Please Select ] Yes
No
Do
you tend to use the same exercises for each muscle group?
[ Please Select ] Yes No
How
sore do your muscles get the day after training them?
[ Please Select ] Very sore
A little sore Not
sore at all
Do
you use a training partner when you perform resistance training?
[ Please Select ] Yes No
Do
you tend to take each set to positive failure (can barely perform the last rep)?
[ Please Select ] Yes
No
What
food or supplements do you take before you perform resistance training?
What
food or supplements do you take after you perform resistance training?
What
is your favorite body part to train?
[ Please Select ] Chest
Arms Back Legs
Abs Shoulders
I don't like to train
What
is your least favorite body part to train?
[ Please Select ] Chest
Arms Back Legs
Abs Shoulders
Do
you keep a detailed journal of your resistance training sessions?
[ Please Select ] Yes
No
What
is your typical repetition range when you perform resistance training?
[ Please Select ] 4-6
reps 6-8 reps 8-10
reps 10-12 reps 12-15
reps over 15 reps
Do
you use a personal trainer?
[ Please Select ] Yes No
Sometimes
Have
you ever taken anabolic steroids?
[ Please Select ] Yes No
Do
you tend to socialize or stick to business when you train?
[ Please Select ] I
like to socialize I stick to business
Do
you listen to music (cd/walkman/mp3 player) when you train?
[ Please Select ] Yes No
Sometimes
When
do you stretch?
[ Please
Select ] Before working out
After working out Between
each set I don't stretch at all
Do
you warm up with cardio before your resistance training session?
[ Please Select ] Yes
No Sometimes
Have
you ever experienced a serious plateau in your training (not gaining strength
or muscle mass)?
[ Please Select ]
Yes No
What
is the most important aspect you would like to gain from your exercise plan?
[ Please Select ] Look
better Become healthier Become
more flexible
What
made you start exercising in the first place?
Are
you happy with your current exercise plan?
[ Please Select ] Very happy
Fine with it Not
really happy Need to make changes
What
is the number one thing you want to change about your body?
How
long have you been performing resistance training?
[ Please Select ] Less
than a month Less then a year
1-5 years 5-10 years
Over 10 years I
don't train
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ShapeFit.com has helped you learn more about health & fitness, we would love
to hear your testimonial!
Allow
your testimonial to be available for other visitors to review on this site?
[ Please Select ] Yes No
