Name: Age: Height Gender: On a scale of 1-10, how dedicated are you towards achieving your fitness go

Kanupr 29 5'7'' F 8
Weight (morning dry weight)What is your desired weight goal
73 kgs 63 kgs
Please list your 3 most important goals you want to achieve in terms of fitness with our assist
Increased Stamina
Increased joint and muscular strength
Weight Loss and toning
How many total hours of sleep do you get on weekdayHow many total hours of sleep do you get on weekend
7 hrs 7 hrs
Has any physician told you that you should not exerciseIf yes, why?
No
Do you suffer from a chronic illness or injury that may prevent you from performing certain types of exerc
Left Knee Ligament injujry which has resuled in muscle atrophy and lost strenth, weak lower back
If yes, please tell us in detail about your condition (If no, please leave it bl
Please mention in detail your current training split, eg: monday chest shoulders and triceps, tuesday back and biceps, etc
Rate yourself on a scale of 1 to 5 on your muscular capacity and stren
2
Rate yourself on a scale of 1 to 5 on your athletic abili
1
Rate yourself on a scale of 1 to 5 on your flexibility and mobili
4
Do you currently do cardiovascular exercise? If yes, please mention the type of activity performed and the duration for the same. Eg: j
Rate yourself on a scale of 1 to 5 on your cardiovascular abiliWhat form of transport do you use in your daily lif
3 Cab
Do you currently have any mobility/flexibility issues with any muscle or joint? Eg: frozen shoulder,
Left Knee restricted movement
Do you have a warm up and cool down routine for your workouts? Do you involve static stretching? Please exp
How much time can you devote to an exercise program on a WEEKLY bas
4-5 days a week
How many hours do spend in a day sitting, lying down, resti
almost all the day
Do you have a history of TIA’s, angina, heart disease, stroke, heart attack, vascular disease, hernia, fainting or shortness o
Please describe any other health issues that may influence your exercise program (If none, please leave it b
Do you feel like you have any strong or weak muscle groups? This can be due to genetics, past injuries, specific sports res
Left Knee Ligament Tear and knee cap dislocation
Do you train to failure? If yes, how ofte
Do you spend a lot of time walking or climbing stairs at office, home, etc? How
No
What are your strengths? Are you are genetically gifted in a particular fitness component or muscle group? Are there certain moveme
Flexible Body
Have you had any major orthopaedic surgeries conducted? Eg: hip replacement, broken b
Do you take any supplements? If yes, please mention which and in what quant
Do you take any Performance Enhancing Drugs? If yes, please mention which and in what qua
Please mention any queries you would like us to clear in your Skype call.Please feel free to tell us anything else or express other relev
Before submitting this application, please read and understand the follow
In what denomination do the dumbbells in your gym increase with regard to their weight? Eg: 2.5 pound increments (50 lbs, 52.5 lbs
What are the heaviest dumbbells available at your gy What kind of equipment is available at your gym
Please give us an idea of your current strength in the weight room. Mention the poundage you can move along with repetitions (full r
lation movements as well.