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Age

Weight

Height

Is your occupation sedentary or physical?

What is your primary goal?

If yes how many days per week?

What time do you normally train?

What does your exercise regime consist of? (Go into detail here e.g - workout split, what you do each day of the week exercise wise)

What does a normal day of eating look like for you? (breakdown of each meal, what you usually eat and times you eat)

Are there any foods you dislike? And/or do you have any food allergies?

If you are signing up for nutrition coaching - do you want a set meal plan OR macros (to track your own food) ?

If yes what supplements?

How much water do you drink daily?

Do you have any other illnesses or medical condition that needs to be accounted for?

What is your instagram handle? (if applicable)

Disclaimer

At Ash Mullen Fitness we believe you should consult your physician or other health care professional before starting this or any other fitness plan/program to determine if it is right for your needs. This is particularly true if you (or your family) have a history of high blood pressure or heart disease, if you have experienced chest pain when exercising or in the past month when not engaged in any physical activity, have high cholesterol, are obese, or have a bone or joint problem that could be made worse by a change in physical activity. Do not start this fitness plan/program if your physician or health care provider advises against it. If you experience faintness, dizziness, pain or shortness of breath at any time while exercising you should stop immediately. At Ash Mullen Fitness we offer health, fitness and nutritional information and recommendations that is designed for educational purposes only. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have read on your plan/program. Your plan/program has been customised to you and your lifestyle. By accepting the terms you agree not to share or sell to anyone else. The use of any information provided by Ash Mullen Fitness is solely at your own risk.

Nutrition/Training - Consultation Form

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