FREE Evaluation Details

• * Full Name
• Age
• Gender
  • Male
  • Female
• * Email
• Phone Number (Optional)
• Height
• Bodyweight
• Which service are you interested in? Personal Training, Nutrition Plans, Online Coaching, or Becoming a MikeFit Training Club App Member?
• How did you hear about Mike's Programs?
• Please list all your goals including any plateaus you want to overcome:
• Do you find it difficult for your body to naturally lose weight, gain weight, or does it fluctuate easily depending on the lifestyle & diet?
• Occupation (Also describe your activities and challenges in your line of work):
• Please list any medical condition or medications:
• If doing in-person training with Mike, would you like him to occasionally take photos of your lifting form and technique? (Recommended for muscle imbalance and progress assessment. Photos are confidential unless stated otherwise):
• Have you followed any diets within the past year? Ex: low carbs, weight watchers, high protein, paleo, intermittent fasting, body building diets, contest prep, Atkins, detox etc..
• Concerns/Details/Available Times; Feel free to share any other information of your background and/or questions that you may have for Mike. (Also if planning to personal train, please list out all time frames and days that are good for you to train
• Photo Submission (Picture 1) Body Shot in Fitted Casual or Swimwear Clothing

  Allowed file extensions to upload: jpg,jpeg,png

  Maximum image width: 5120 px.

  Maximum image height: 5120 px.

• Picture 2 (Back Side Standing)

  Allowed file extensions to upload: jpg,jpeg,png

  Maximum image width: 5120 px.

  Maximum image height: 5120 px.

• * Each participant (herein referred to as the Participant) of a MikeFit in-person or online personal training program, nutrition or dietary advice program or other fitness program (collectively referred to herein as the Program) is aware that participat
  • I agree to liability waiver / consent box *