Adela Fitness Application

Name
Email address
 Address
 
Street Address
 
City

State/Province/Region
 
Postal/Zip Code

Country
 
Home Phone

Cell Phone
 
Age

Gender

Height

Weight

Approximate Body Fat

 

Fitness Goals


LIFESTYLE / PROFESSIONAL ACTIVITY LEVELS
How would you rate the activity level of your profession, or what you do during the day (non-exercise related)?

Have you ever followed a specific workout program or diet plan? If so, please explain and please be specific.

Current workout regiment (please be specific)


Have you ever had any injuries?


Are you currently taking any medications?

Current nutritional program, if any (please be specific)? If you are not currently following a program please note.

Please list a sample day's diet
Meal 1:
Meal 2:
Meal 3:
Meal 4:
Meal 5:
Meal 6:
Meal 7:

Please include your weekly training and cardio schedule, type of activities and the duration.

Food favorites


Any foods that you dislike or are allergic to?

CONTEST AND COMPETITION INFORMATION

If you have competed before, what are your previous shows and placings?

Who have you worked with in the past, both trainer and nutritionist, if any?

Upcoming contest you have in mind, please list all you would be interested in.


If you have competed before, please explain in detail what your previous contest prep, both training and nutrition, consisted of. (Please be as detailed as possible)

If you are a previous competitor, what supplements do you usually or have you taken during your contest prep?