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Client Profile Questionnaire

General Health & Nutrition Questions

  Personal Profile Information:     

Gender Required

  Weekly Exercise Information:   

Explain in detail what type of resistance exercises, cardiovascular or sports activities you perform in average an average week.

  Lifestyle / Professional Activity: 

How would you rate the activity level of your profession, or what you do during the day (non-exercise related).

  What Are Your Goals:             

Select all that apply.

Goals Required

  Protein Requirements:              

Which best describes you?

Protein Needs Required

  Body Type:                             

Which best describes you?

Select an Option

  Health & Medical Conditions:   

Select any that apply or describe any others.

Health Conditions

  Preferred Food Selection:          

Select the foods you enjoy.

Protein Selections Required
Carb Selections Required
Fat Selections Required

  Lifestyle Questions:                   

WAIVER: 

I agree to allow Enlightened Athletics to design a fitness and/or nutrition program for me to enhance my health and fitness goals. I will follow that program to the best of my ability and I will not hold Enlightened Athletics or their owners, employee or agents personally liable for any problems, illnesses or injuries that might occur due to a sudden change in my training or eating habits. I understand that the coaches at Enlightened Athletics are not registered or licensed dietitians, nor are they medical practitioners. This training and/or nutrition program  does not replace the expert advice or medical treatment of my own private doctor. I have provided Enlightened Athletics all necessary information about myself to prevent any possible complications. 

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