Name
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(What is your full name ?)
First Name
Last Name
Phone
*
(What is your phone number ?)
(###)
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When is your birthday? (d/m/y)
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Height
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Activity levels
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(What type of work do you have? How many hours per day? How active it is? How many times a week do you train? How long is each session? Do you do any cardio? Are you involved in any other activities? Sports? Would you consider your current lifestyle active? How many steps a day, are you getting on average?)
Goals (short-term & long-term)
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(Provide me with as many details as possible of what you would like to achieve, and in how long, realistically?)
FOOD ALLERGIES, INJURIES, MEDICATION, DOCTORS PRECAUTIONS, MEDICAL HISTORY
*
(Is there anything I should be aware of before designing your program? ANY INFO OF possible MINOR OR MAJOR current/past INJURIES. PLEASE SPECIFY a BODY PART & INTENSITY OF PAIN)
Food preferences
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(If none of the selections, listed underneath, related to you, please pick the "non-vegetarian" option and describe exactly what are your food preferences in the next question box)
FOOD PREFERENCES
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(List as many food preferences as possible. Foods you like and dislike, so I can design a nutrition plan that will WORK THE BEST FOR YOU, based on foods that you enjoy the most)
A rough idea of your current nutrition plan & eating habits
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(Be as specific as you need to be. The more I know about you and your eating habits, the better program I will be able to design for you. Also, please specify if you are currently taking any dietary supplements. If yes, please provide its caloric content as well, which is usually included on its nutritional back label)
A rough idea of your current workout & training plan
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(Are you training at the public GYM OR at HOME? Do you prefer to train at home or public gym? If you are training at home, could you please specify what type of equipment you have available at home? If you don't have any, don't worry, we can still make it work, it just allows me to determine exactly what type of exercises we could include in your workout plan)
How many meals and snacks would work the best for you per day ?
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START DATE
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(List the exact date when you are expecting to receive your program in your email. SIDE NOTE: usually it takes me 1-2 days to write a program)
HOW MANY TIMES A WEEK CAN YOU COMMIT TO RESISTANCE TRAINING (working out)?
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HOW MANY TIMES A WEEK CAN YOU COMMIT TO CARDIO TRAINING?
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MANDATORY JACKED HAMSTER COMMITMENTS BEFORE WE START
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GENERAL INFO & ANY OBSTACLES THAT ARE STOPPING YOU FROM achieving YOUR GOALS ?
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Is there anything else I should know before we will get started? Any specific requests? What are your biggest struggles, barriers, and obstacles at this moment that are stopping you from achieving your goals? Please describe any difficult habits or obstacles you struggle with when it comes to your eating habits (for example, overeating, high or low hunger levels, stress-emotional eating, boredom eating, not eating enough, etc) and if you have tried anything in the past (ex: coaches, programs, specific diets, etc)
HOW DID YOU HEAR ABOUT JACKED HAMSTER ONLINE COACHING?
Which PLAN would you like to choose?
*
Which method of payment would you like to use ?
(After you will submit this form, please make the payment and then email or iMessage, or WhatsApp message (preferred) to Vitaliy Demchuk, Founder & Head Coach of Jacked Hamster Coaching using the following contact information: jackedhamstercoaching@gmail.com OR +1 (204) 232-5452 to confirm the payment transaction, a method of payment, and completion of your "get started" form. YOUR UPFRONT PAYMENT is not your official "start" date, it's just for reservation purposes, so I know you are 100% committed to my guidance. You will begin your program officially when you will receive an "app log-in" info, in your email on the date requested by you. Also, if you will require a receipt, then please include this request in your post-payment email/message confirmation)
Terms & Conditions & Policy Agreement
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(You agree that by participating in ANY type of physical activities/training, cardio, or/and resistance training, weight lifting, or/and sports, you do so entirely at your own risk. Any recommendations/changes/adjustments in the nutrition guidance, training plan, dietary supplements, or weight reduction/gain in the process of our teamwork, are entirely your responsibility and you should consult a physician prior to undergoing any dietary or/and food supplement or/and training or/and physical activity changes. You agree that you are voluntarily participating in these activities and use of these facilities, guidance, and premises and assume all risks of injury, illness, or death. You understand that the Jacked Hamster Online Coaching (seller) shall not be liable for any damages arising from ANY type of personal injuries sustained by the client (buyer) while, during and after, and/or from a Jacked Hamster Online Coaching program does so at his/her own risk. Client (buyer) assumes full responsibility for any injuries or damages which may occur during and/or after training/following the Jacked Hamster Online Coaching program. You hereby fully and forever release and discharge Jacked Hamster Online Coaching (seller), its assigns, and agents from all claims, demands, damages, rights of action, present and future therein. You acknowledge that you have carefully read ALL Terms & Conditions/Policy on our Jacked Hamster website before submitting this form, which is essentially a waiver and release and YOU FULLY understand that it is a release of liability)
Thank you very much for filling out the “get started” form. I am VERY excited to begin this journey with you! Please, send me a message via WhatsApp (preferred), or iMessage, or email, to confirm your submission and payment!
The E-TRANSFER address is:
jackedhamstercoaching@gmail.com
OR
THE PayPal address is: PayPal.Me/vitaliyjackedhamster
Vitaliy Demchuk, Founder & Head Coach of Jacked Hamster Coaching.
