PLEASE FILL OUT THE BELOW QUESTIONNAIRE SO I CAN PERFECTLY CUSTOMISE YOUR PROGRAM TO SUIT YOUR SPECIFIC TRAINING AND NUTRITION GOALS.

(Please fill out as accurately as you can)

Jay Black New Client Questionnaire

First Name *

Last Name *

Email *

Phone *

Age: *

Height: *

Weight: *

The programming I will be doing for you will be completed in 16 week blocks. What are your training goals over the next 16 weeks as a client of mine? Please be specific :)

Are you on any medication or do you have any injuries? Will either of these affect your program, if yes please explain:

Will you be training from home or at the gym?

How many days is it realistic for you to be able to workout each week?

What do you currently do for work and how many hours per week do you work?

Are there any foods that you dislike or cannot have in your meal plan? If yes I will help you work around this.

Is there anything else you would like to let me know before I send you your program?

Once I receive this questionnaire back from you, I will customize the perfect program and will happily answer any questions you may have. I want you to make sure that you understand exactly what you need to do to get in the best shape of your life and make this program a massive success long term! I genuinely look forward to working with you!

PLEASE FILL OUT THE BELOW QUESTIONNAIRE SO I CAN PERFECTLY CUSTOMISE YOUR PROGRAM TO SUIT YOUR SPECIFIC TRAINING AND NUTRITION GOALS.

(Please fill out as accurately as you can)

Jay Black New Client Questionnaire

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