Massy Arias Training Questionnaire

[vc_row][vc_column]

Personal Stats
Name*
First Last
Email*
Phone
Age*
Current Weights*
Body Fat %*

Estimate if you do not know.
Body Type*
Height*
Waist Size*
Blood Pressure*
Are You Diabetic*
Marital Status*
Kids in Household*
Do you consider yourself under a lot of stress right now?*
Goals
Goal Weight*
Goal Body Fat %*
Exercise*
How many days a week do you exercise?*
Are you willing to increase number of days to accomplish goals?*
What times do you exercise daily?*
Please send me your entire workout program each day (or for each body part):*
How many days a week do you perform cardio:*
Please send me your current cardio routine:*
Food / Supplements
How many cheat meals do you have a week:*
Food allergies:*
Foods you absolutely can't stand:*
Are you a late night "snacker":*
Average weekly budget on food:*
What did you eat yesterday:*
What supplements/vitamins are you currently taking:*
*As a reminder, all information from this questionnaire will be kept confidential and will never be shared with anyone. Please only answer what you feel comfortable answering but the more information I have the more “ammo” I have to help you accomplish your goals.*

[/vc_column][/vc_row]

Personal Stats