Challenege form | jade-mead

New year 12 week challenge
Please answer the questionnaire below with as much detail as possible to ensure that I can cater your programs specifically to you and get you started with the challenge!

Full Name, Age, Gender & Location

Height, Current Weight & Goal Weight

Email Address

What are your goals? What would you like to achieve from taking part in this challenge?

What do you do for work? How active are you daily?

Are you currently exercising? If yes how many days per week, gym/home, what type of training (weights/cardio/classes) & how long do you train for? And how many days can you commit to training so that I can cater your training program to you? (e.g 5 day weights program).

Please describe your usual daily food and drink intake. (e.g Breakfast: poached eggs on toast, coffee with milk; Snack: Banana; Lunch; Snack; Dinner; Dessert). Also, are you currently tracking macros/calories? If so please list them below.

Please list any food allergies you may have. Please also list any foods you may particularly like or dislike so that I can cater your meal plan to you.

Are you currently taking any medication, vitamins or supplements? Please list here.

Do you have any joint or muscular problems, medical conditions or any other conditions that may affect your ability to train? Please list here.

Thanks for submitting!
I will email you shortly with all the information to get you started. Please be sure to check your junk folder.

Jade x

New year 12 week challenge Please answer the questionnaire below with as much detail as possible to ensure that I can cater your programs specifically to you and get you started with the challenge!

New year 12 week challenge
Please answer the questionnaire below with as much detail as possible to ensure that I can cater your programs specifically to you and get you started with the challenge!