Raeshaun Jones, B.S.
Nutrition and Health
Nutrition and Fitness Consultant
instagram: @ RaeshaunJ
Fill the provided form out
Number of years weight training :
At what age did you start weight training?
How many days a week can you train?
How many hours can you spend training daily?
What time of day do you normally workout?
List any exercises we should avoid when designing your program
Describe your current cardio/conditioning regimen :
List the training equipment you have available at your gym :
How many days a week do you train?
What is the total estimated volume of your current program (sets, reps, weight)?
What is your current training split?
What is your goal that we can help you achieve? Body composition? Strength? General?
What is the date at which you want to achieve said goal?
Provide a detailed description of your current diet
What are your current macronutrient totals?
How long have you been eating this way?
Have you been gaining or losing weight at your current intake?
Please list any supplements you are taking
Please list any other information you would consider vital for us to know.
Do you have a regular menstrual cycle? If not explain why. If so, are you on birth control?
Have you received a comprehensive blood panel? If so, please attach the results
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