» Non-professional athletes

Step 1 of 5 - Personal details

(Required)

First Name Last name

Date of birth(Required)

Month

Day

Year

Job or sport(Required)

Marital Status(Required)

Married

Single

Level of education(Required)

Diploma

Bachelor

Master

PhD

Field of Study(Required)

Blood Group

Mobile phone(Required)

Email (Result are sent via email)(Required)

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(Required)

Month

Day

Year

Payment receipt(Required)

Max. file size: 256 MB.

Height (cm)(Required)

Current body weight (Measured in the morning, wearing underwear, after urinating)(Required)

What is your usual stable weight? (kg)(Required)

Waist circumference (Measure the smallest part of your waist with a tape measure)(Required)

Hip circumference (Measure the largest circumference around your hips with a tape measure)(Required)

Indicate your body fat distribution in order of priority (top 3 areas)

Priority 2

Priority 3

Body fat percentage (If measured with calipers or a body composition device, please specify)

Upload body composition report

Max. file size: 256 MB.

Do you currently have any medical conditions?(Required)

Yes

Please specify the type and duration of the condition.(Required)

Have you undergone surgery?(Required)

Yes

Please specify the type and date of the surgery.(Required)

Do you have any injuries or mobility limitations?(Required)

Yes

Please specify the type of injury or mobility limitation.(Required)

Have you ever experienced palpitations or shortness of breath with activity?(Required)

Yes

Please describe how the palpitations or shortness of breath start.(Required)

Are you currently taking any medications?

Yes

Please specify the type and dosage of the medication.(Required)

Which of the following do you use?

None

Alcohol

Cigarette

Drugs

Please specify the type and amount.(Required)

Assess your job-related stress.(Required)

Low

Moderate

High

Training Goal?(Required)

If you need to change your weight, complete the food plan questionnaire

Specify the target factors.(Required)

Fully describe your condition and mobility limitations.(Required)

Do you want to reduce a specific body area?

Yes

Please specify the areas.(Required)

Do you want to build muscle in a specific area?

Yes

Please specify the areas.(Required)

Any limits on gym access?(Required)

Yes

Specify training location.(Required)

What equipment do you have?

Please upload photos of your training equipment.

Max. file size: 256 MB.

Please specify only the days and times you want to do exercises.(Required)

Saturday morning

Saturday evening

Sunday morning

Sunday evening

Monday morning

Monday evening

Tuesday morning

Tuesday evening

Wednesday morning

Wednesday evening

Thursday morning

Thursday evening

Friday morning

Friday evening

Which of the following do you prefer for endurance training?(Required)

Coach's Choice

Indoor exercise

Outdoor training

Which of the following methods do you prefer for endurance training?(Required)

Coach's Choice

Treadmill

Elliptical

Stationary bike

Hand bike

Group sports & aerobics

Roping

Swimming

IGYM

Which of the following methods do you prefer for endurance training?(Required)

Coach's suggestion

Running in the park

Track Running

Hiking

Cycling

Which of the following methods do you prefer for strength training?(Required)

Coach's Choice

Bodybuilding machines

Free weights

Resistance Band

Medicine Ball

Body weight training

IGYM

Are you interested in using sports supplements?(Required)

Yes

Have you previously received a training program from the website?(Required)

Yes

How many days was your previous training program?(Required)

In which language would you like to receive your training plan?(Required)

Persian

English

Briefly describe your training history over the past 2 months.(Required)

Please add any comments, suggestions, or additional notes not covered in the form.

You may send a body photo if you wish.

Max. file size: 256 MB.

(Required)

I confirm the accuracy of the above information and request a training program.