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-AB
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O+
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Email (Result are sent via email)
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Payment (50$ )
Please email transfer to: Dr.Bahrami@gmail.com or Paypal to: Dr.Bahraminejad@yahoo.com
The full name of the payer:
(Required)
Date of payment
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Month
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Day
Day
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2020
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2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Payment receipt
(Required)
Max. file size: 256 MB.
Height (cm)
(Required)
Current weight (measure your weight in the morning with underwear after toilet
(Required)
What is your normal weight? (kg)
(Required)
Waist circumference (Measure the smallest circumference with a tape
(Required)
Hip circumference (Measure the biggest circumference with a tape)
(Required)
Thigh circumference (Measure the middle of your thigh with a tape)
(Required)
Arm circumference (Measure the largest circumference with a tape )
(Required)
3 points priorities of body fat distribution (Priority 1)
(Required)
front of abdomen
the sides
hip
thigh
chest
the arms
Priority 2
front of abdomen
the sides
hip
thigh
chest
the arms
Priority 3
front of abdomen
the sides
hip
thigh
chest
the arms
Fat percentage (with caliper or body composition analysis device)
Send body composition file
Max. file size: 256 MB.
Do you currently have a specific illness?
No
Yes
Please mention the type and duration of the disease
(Required)
Have you had surgery?
No
Yes
Please mention the type and time of surgery
(Required)
Do you have a special injury or limited mobility?
No
Yes
Mention the type of injury or movement restriction
(Required)
Have you ever experienced heart palpitations or shortness of breath with activity?
No
Yes
Please describe the process of palpitations or shortness of breath
(Required)
Do you take any special medication?
No
Yes
Please explain the type and amount of medication
(Required)
Do you use cigarettes, alcohol or drugs?
No
Yes
Explain its type and amount
(Required)
Assess your job stressors
(Required)
Low
Medium
High
Purpose of training program
(Required)
Fitness without weight change
Fitness with weight loss
Fitness with weight gain
treatment of specific disease
If you need to change your weight, complete the food plan questionnaire
Fully explain your mobility limitation
(Required)
Do you have a special desire to shrink a part of your body?
(Required)
No
Yes
If you need to change your weight, complete the food plan questionnaire
Please name the desired parts
(Required)
Do you have a special desire to become muscular and bulky in a part of your body?
(Required)
No
Yes
Please name the desired parts
(Required)
Do you have any special restrictions for going to sports places?
(Required)
No
Yes
Mention the training location
What training tools do you have?
Please send photos of your training equipment
Max. file size: 256 MB.
Please specify only the days and times you want to do exercises (required).
Morning
Saturday morning
Sunday morning
Monday morning
Tuesday morning
Wednesday morning
Thursday morning
Friday morning
Evening
Saturday evening
Sunday evening
Monday evening
Tuesday evening
Wednesday evening
Thursday evening
Friday evening
Which of the following spaces do you prefer for endurance training?
Coach's suggestion
Indoor exercise
Exercise outdoors
Which of the following methods do you prefer for endurance training?
Coach's suggestion
treadmill
elliptical
Stationary bike
hand bike
Group sports and aerobics
Roping
Swimming
IGYM
Which of the following methods do you prefer for endurance training?
(Required)
Coach's suggestion
Running in the park
Running on the track
Mountain climbing
riding bike
Which of the following methods do you prefer for strength training?
(Required)
Coach's suggestion
Bodybuilding machines
free weights
Ball medicine ball
Body weight training
IGYM
Do you have a desire to take sports supplements?
(Required)
No
Yes
Have you already received the training program from the site?
No
Yes
In what language would you like to receive your training plan?
(Required)
English
Persian
Please provide a summary of your training record for the past 2 months
(Required)
Please, in addition to criticisms and suggestions, if you think there is something special, write it in the form below.
If you want, you can send a photo of your body
Max. file size: 256 MB.
While accepting the accuracy of the above information, I request the annual training program (required).