Transcend Physique New Member Sign-up Form

Data Protection
Start Here
Goals and Timeframe
Stats
Injuries
Training
NUTRITION
Yes/No
Finish

In order to move forward please read and accept the following Notice. By completing the following form Transcend Physique is required to collect and store special data (personal, dietary, medical). Your personal data is held securely in a single encrypted location and will never be shared with anyone outside of Transcend Physique. Transcend Physique can completely remove your data by request.

I consent that the data I complete in this form is to be handled by Transcend Physique.

Yes, I consent. No, I do not consent.

Photos Consent Form

Consent to request and receive progress photos

I consent Transcend Physique to request and receive progress photos (not to be shared externally) I consent Transcend Physique to share transformation photos on Social Media if approval is requested and given prior to posting

Welcome to Body By NB

What is your name?

What is your email address?

What is your phone number?

What are your goals?

What is more important to you?

Improving body composition Improving health and fitness

What are your goals?

What is your timeframe?

What do you do for work?

What does your current work schedule look like?

How serious are you about getting into shape?

How serious are you about getting into shape? ( 1 LOW – 10 HIGH )

What is your current stress level? ( 1 LOW – 10 HIGH)

Enter your stats

What is your age?

What is your height?

What is your weight? (lb)

EXPENDITURE

How many steps do you do on average per day?

0 – 5,000 5,000 – 9,999 10,000 – 14,999 15,000 +

How many calories do you consume per day on average?

How long have you been consuming this amount of calories for?

How active are you throughout the day?

Very low activity – Office Job + No Exercise Lightly active – Office Job + Moderate Exercise Moderately active – Manual Job + Moderate Exercise Highly active – Manual Job + High Exercise

Your Current Injuries

Do you have any current or past injuries?

No Past Injury – Doesn’t impact training Current or past injury – impacts training

Additional Information

Training

Currently, how many training sessions do you have per week?

Details about your current training program? (e.g. Legs/Push/Pull)

How many sessions are you willing to commit to throughout the week?

NUTRITION

Would you prefer a meal plan or macro plan?

Do you have any allergies?

Yes No

What are they?

Please list (if any) which supplements you take at the moment and what dosages?

Which carbs do you not like?

Which proteins do you not like?

Which fats do you not like?

Which fruits do you not like?

EATING

How would you define your relationship with food?

Have you had any previously diagnosed eating disorders? (Please specify)

Final

Any further information?

I agree that it is a minimum of 6 months sign up and I will be liable to pay the remaining balance if I cut my experience short unless discussed with Nathan before I do so

I agree

I consent that the data I complete in this form is to be handled by Transcend Physique.

Photos Consent Form

Consent to request and receive progress photos

Welcome to Body By NB

What is your name?

What is your email address?

What is your phone number?

What are your goals?

What is more important to you?

What are your goals?

What is your timeframe?

What do you do for work?

What does your current work schedule look like?

How serious are you about getting into shape?

How serious are you about getting into shape? ( 1 LOW – 10 HIGH )

What is your current stress level? ( 1 LOW – 10 HIGH)

Enter your stats

What is your age?

What is your height?

What is your weight? (lb)

EXPENDITURE

How many steps do you do on average per day?

How many calories do you consume per day on average?

How long have you been consuming this amount of calories for?

How active are you throughout the day?

How active are you throughout the day?

Your Current Injuries

Do you have any current or past injuries?

Additional Information

Training

Currently, how many training sessions do you have per week?

Details about your current training program? (e.g. Legs/Push/Pull)

How many sessions are you willing to commit to throughout the week?

NUTRITION

Would you prefer a meal plan or macro plan?

Do you have any allergies?

What are they?

Please list (if any) which supplements you take at the moment and what dosages?

Which carbs do you not like?

Which proteins do you not like?

Which fats do you not like?

Which fruits do you not like?

EATING

How would you define your relationship with food?

Have you had any previously diagnosed eating disorders? (Please specify)

Do you suffer from

Emotional Stress

Physical Stress

Physiological Stress

Dietary

Lifestyle

Hyperfunction

Hypofunction

Sleep

Digestion

Bile Function

Gut Health

Colon

Stool analysis

Benficial factors of micro biome

Blood sugar

Hyper-Thyroid

Hypo-Thyroid

High oestrogen

Low Oestrogen

Low testosterone (Female only)

Low Progesterone (females only)

Low Testosterone

Kidney

Exposure

Final

Any further information?

I agree that it is a minimum of 6 months sign up and I will be liable to pay the remaining balance if I cut my experience short unless discussed with Nathan before I do so