Questionnaire - KYLE GLICKMAN

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WHAT IS YOUR EMAIL ADDRESS?*
WHAT IS YOUR NAME (FIRST AND LAST)?*
HOW DID YOU HEAR ABOUT US?
CURRENT ADDRESS (PLEASE INCLUDE CITY, STATE)
WHAT IS YOUR PHONE NUMBER?
WHAT IS SEX, AGE, WEIGHT & HEIGHT?
WHAT IS YOUR OCCUPATION/JOB AND WORK SCHEDULE?
WHAT ARE YOUR CURRENT GOALS YOU WOULD LIKE HELP YOU WITH?
DESCRIBE YOUR TRAINING PROGRAM? PLEASE INCLUDE: CURRENT TRAINING SPLIT? HOW MANY SETS DO YOU DO PER WORKOUT? TRAINING VOLUME? WHAT REP RANGE DO YOU WORK IN? HOW DO YOU DECIDE ON YOUR WEIGHTS?
DESCRIBE YOUR PAST TRAINING/COMPETITION/CONTEST PREP EXPERIENCES?
DESCRIBE YOUR CURRENT NUTRITION INTAKE, INCLUDE TOTAL CALORIES, CARBS, PROTEIN AND FATS. IF UNKNOWN, LIST YOUR FOOD INTAKE (TYPE AND AMOUNT) FOR A TYPICAL DAY (VEGETARIAN, VEGAN, KETO, LOW CARB, HCG).
WHAT IS YOUR CURRENT CARDIO REGIMENT? INCLUDE TIME, INTENSITY AND TYPE.
DO YOU PARTAKE IN ANY EXTRACURRICULAR ACTIVITIES/HOBBIES?
HOW MANY HOURS A NIGHT DO YOU SLEEP?
- Less than 5 hours
- 5 - 10 hours
- More than 10 hours
DO YOU TAKE ANY MEDICATIONS/HERBS/SUPPLEMENTS?
DO YOU HAVE ANY MEDICAL PROBLEMS OR INJURIES? (WOMEN: PLEASE INCLUDE ANY ABNORMALITIES IN MENSTRUAL CYCLE)
LIST YOUR CURRENT VITALS, IF KNOWN. RESTING HR, BLOOD PRESSURE, HRV, BLOOD SUGAR AND OTHER LAB VALUES
IS THERE ANYTHING ELSE YOU WOULD LIKE TO ADD OR LET US KNOW?
OPTIONAL: CURRENT PHOTOS OF YOURSELF. *PLEASE UPLOAD A .JPG UNDER 2MB IN SIZE
Accepted file types: jpg, jpeg.
OPTIONAL: PAST PHOTOS (PREVIOUS COMPETITIONS, PREVIOUS WEIGHT LOSS/GAIN). *PLEASE UPLOAD A .JPG UNDER 2MB IN SIZE
Accepted file types: jpg, jpeg.
Name
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