Questionnaire — Pearl Performance

New Client Questionnaire

Please be as detailed as possible with your answers to the questionnaire, the better I am able to understand your daily routine, work schedule, etc., the better I can put together a plan that works for YOU! I only start new clients on Mondays, and ask that you have your questionnaire and payment submitted 8 days prior to your start date. Once your questionnaire has been submitted, I will contact you to let you know my soonest available start date!

Name

First Name

Last Name

Phone

(###)

###

####

Email Address:

How did you hear about Pearl Performance LLC?

Birthdate

YYYY

Age:

Height:

Current Weight:

Goal Weight:

Neck:

Bust / Chest:

Stomach (belly button):

Waist:

Hips:

Mid-Thigh

Calves:

Arms:

Medical Conditions / Injuries / Limitations:

Please list any major injuries, disabilities, or medical conditions that may prevent you from safely or comfortably completing your workouts.

Work:

Please briefly explain what it is you do for work, regarding activity level. Do you sit at a desk for most of the day, or are you on your feet? How active or sedentary is your job?

Lifestyle:

Outside of work, how active are you? How many days per week would you say you exercise? What types of exercise do you currently do, or do you enjoy and wish you did more of?

Daily Routine:

In detail, please explain a typical daily routine for a workday. Please include what time you wake up, what time you leave the house, what time you start work, what time you typically take breaks, what time you get off, what time you typically eat each of your meals, and what time you typically go to sleep. Please be sure to include any times that you are not able to eat due to work or other commitments. Then please also give me the same details for a typical weekend. The better I can understand your schedule, the better I can build a meal plan or workout schedule that works with your daily and weekly schedule.

What experience have you had with physical fitness?

Any experience with cardio, resistance training, other physical activity? If so, what worked best to help you stick to it? What didn’t work and possibly contributed to you quitting?

Schedule:

Please think about what time of the day you might be able to dedicate 30-60 minutes of exercise based on your schedule. If possible, it is ideal if this is done at the same time each day, but not necessary for success.

Workouts:

If you are enrolling in a workout plan, what type of equipment do you plan to use? Will you be going to a gym? Using home equipment? Or looking to just do a body-weight routine? How many days a week can you commit to working out?

Food Allergies / Dislikes:

Please list any allergies, or foods that you do not like and would rather not eat.

Food Journal:

This can be done from memory, if you are confident in your ability to recall absolutely everything and anything consumed in a 24-hour period. If not, please take a day or two to track your food intake. Please send me a detailed list of all food, drinks, and supplements/vitamins you take in a 24-hour period. Please do this for 1 day over the weekend, and 1 day during the week.

Snack Information:

Are you a late-night snacker? Or are you typically full, satisfied, and fine going to sleep without eating anything beyond dinner?

Are you open to supplementation?

This includes protein powders, pre/post workout supplements, creatine, and other possible suggestions based on your specific goals. Supplementation isn’t for everyone but can be very beneficial in helping to hit macro needs.

Any other important information that you think I should know?

Anything that might help me tailor your workouts or meals to best suite you?

Please upload starting photos here: UPLOAD

Full-body front, side, and back.

Thank you!

Be sure to complete the Liability Waiver, so we can get started right away. (Click link below)

Liability Waiver

IMPORTANT NOTES:
- Weekly weigh-ins! Every Thursday morning the moment you wake up from sleeping, please use the restroom, and then immediately weigh yourself. Do this before drinking any fluids or eating any foods. This is critical, as it is our way of tracking your progress in an accurate manner, as well as enabling me to make proper adjustments to your meal plan.

- Please take progress photos! Initial starting photos (full-body front, profile, and back), and take initial measurements as listed above. I would like you to take new photos and new measurements every 8 weeks.

- Please purchase a food scale, they can be purchased for $15-$30 on Amazon and other places. Ensuring that you are eating the correct portion sizes for every meal are the key to minimizing variables and guaranteeing consistency.

- Realistic Expectations! Living in the age of social media has made it very easy for people to pick out a physique that they want and assume that they can get there with a little hard work and determination. I by no means want to discourage anyone, but I think it’s extremely important to realize that people on TV, in Magazines, and on Social Media all utilize lighting, filters, tanning, dehydration, photoshop, “pumps”, anabolic steroids, and posing. These people also didn’t get into their current shape in just a few months. These are all important things to think about when setting goals and expectations. I want to help you achieve everything that you want, I just want it to be known that some of these models are not easily, or naturally obtainable.

- Payment: I do ask that you please send payment before I start assembling your workouts and meal plans, as a lot of time and effort goes into them. Payments can be sent via Venmo: (@davidpearl87), PayPal: (pearlperformancetraining@gmail.com), or cash if local.

Meal Plans will be emailed over the Friday evening before your designated Monday start date. Workouts will be emailed over no later than the Sunday morning before your designated Monday start date. This will allow time for you to ask questions, grocery shop, and meal prep over the weekend, and then also ask questions and clarify workout plans prior to starting. Please remember, the more you communicate with me throughout this process, the better I can help you. Don’t be a stranger, and never hesitate to call, text, email, or FaceTime, 510-295-9087. I look forward to going on this journey with you, and I am excited to help you achieve your goals!