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General
Health Information
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| First
Name: |
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| Last
Name: |
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| Age: |
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| Gender: |
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| Height
(ft/in): |
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| Weight
(lbs): |
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| Occupation: |
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| Hometown: |
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| What
is your fitness level? |
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| What
is your primary fitness goal? |
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| What
is the biggest problem area on your body? |
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you found us through a search engine, what were you searching
for? |
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Weight
Training Information
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| What
type of weight training do you do? |
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| How
many days per week do you weight train? |
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| What
is your average rep/set range? |
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| Do
you train each set to positive failure? |
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| What
time of day do you weight train? |
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| What
supplements do you take before training? |
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| What
supplements do you take after training? |
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| Do
you change exercises between sessions? |
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| How
many days of rest between muscles groups? |
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| Do
you keep a journal of your training sessions? |
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Cardiovascular
Information
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| What
is your primary type of cardio training? |
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| How
many days per week do you cardio? |
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| How
long is each cardio session? |
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| What
is your cardio training intensity level? |
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| What
time of day do you do your cardio training? |
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| What
supplements do you take before cardio? |
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| What
supplements do you take after cardio? |
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| Do
you change exercises between sessions? |
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| How
many days of rest between cardio sessions? |
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| Do
you keep a journal of your cardio sessions? |
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Diet/Nutrition
Information
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| What
type of diet are you currently on? |
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| How
many meals do you eat per day? |
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| Do
you eat breakfast? |
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| What
size are your average meals? |
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| Do
you tend to snack during the day? |
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| What
is your most common cheat food? |
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| How
often do you eat fast food? |
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| Do
you tend to binge when you cheat on your diet? |
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| Do
you tend to eat cheat foods late at night? |
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| Do
you keep a journal of your dietary intake? |
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Maliciafitness.com has helped you learn more about health & fitness,
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