Name *Email Address *Phone *Emergency Contact *Age *Gender *----select----MaleFemalePrefer not to sayHeight *Weight *Street Address *Apartment, suite, etc *City *State/Province *ZIP / Postal code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweWhich services are you applying for? *Nutrition CoachingStrength / Personal TrainingKickboxing CoachingMEDICAL DECLARATIONPlease read carefully before proceeding. I understand that participation in nutrition coaching, exercise guidance, supplementation recommendations, and physique transformation programs may involve physical, physiological, and psychological stress depending on my current health condition, lifestyle, medical history, and adherence levels. By continuing with this onboarding process, I acknowledge and declare that: • I have disclosed all known medical conditions, injuries, allergies, medications, hormonal conditions, digestive disorders, cardiovascular issues, metabolic disorders, or any other relevant health concerns that may affect my participation in coaching. • I understand that failure to disclose accurate medical information may increase potential health risks and may negatively impact coaching recommendations or outcomes. • I understand that Game Of Physique and Aakash Tiwari are not acting as medical doctors, licensed physicians, or emergency healthcare providers, and that coaching provided is educational and informational in nature. • I acknowledge that nutrition plans, training recommendations, supplementation guidance, and lifestyle protocols should not be interpreted as medical diagnosis, treatment, or prescription. • I confirm that I am voluntarily participating in this coaching program and understand the importance of consulting a qualified physician before making major dietary, supplementation, or exercise-related changes. • I understand that participation in fitness and nutrition coaching may involve risks including, but not limited to: fatigue dizziness digestive discomfort muscle soreness dehydration allergic reactions injury aggravation of pre-existing medical conditions • I understand that transformation results vary between individuals depending on genetics, consistency, adherence, sleep, stress, hormones, metabolism, medical conditions, and overall lifestyle factors. • I agree to immediately inform the coach of any changes in my medical condition, medication usage, injuries, discomfort, or health-related symptoms during the coaching period. • I confirm that all information provided in this form is accurate and truthful to the best of my knowledge. By proceeding, I voluntarily accept responsibility for my participation in coaching services provided by Game Of Physique.I confirm that I have read, understood, and voluntarily agree to the Medical Declaration stated above.LIFESTYLE & COMMITMENTLong-term physique transformation is influenced not only by training and nutrition, but also by lifestyle quality, stress management, sleep, consistency, discipline, and adherence. The purpose of this section is to better understand your current lifestyle, habits, mindset, and level of commitment so that coaching recommendations can be structured appropriately. Please answer honestly and accurately.What is your primary transformation goal? *----select----Fat LossMuscle GainBody RecompositionStrength DevelopmentAthletic PerformanceGeneral Health & FitnessLifestyle ImprovementWhat is your current daily activity level? *----select----Sedentary (mostly sitting)Lightly ActiveModerately ActiveHighly ActiveAthlete-Level ActivityHow would you rate your sleep quality? *----select----PoorAverageGoodExcellentAverage hours of sleep per night *How would you rate your current stress levels? *----select----LowModerateHighVery highDo you consume alcohol? *NeverOccasionallyOn WeekendsFrequentlyDo you smoke or consume tobacco/nicotine products? *NeverOccasionallyOn WeekendsFrequentlyHow committed are you to following a structured transformation process? *Fully committedModerately CommittedUnsureWhy do you want to transform your physique and improve your health? *I understand that sustainable physique transformation requires consistency, discipline, adherence, recovery, and long-term effort.I acknowledge that coaching results depend on my own effort, consistency, honesty, communication, and adherence to the recommended protocols.Help us understand your eating patterns, dietary preferences, and nutrition lifestyle for accurate coaching customization.What best describes your current diet preference? *----select----VegetarianLacto-VegetarianEggetarianNon-VegetarianVeganNo Specific PreferenceDo you have any food allergies, intolerances, or digestive sensitivities? *How many meals do you typically consume daily? *1-2 meals3 meals4 meals5+ mealsIrregular eating patternApproximate daily water intake *----select----Less than 1L1-2L2-3L3-4L4L+What are your biggest nutrition challenges? *CravingsEmotional eatingInconsistent mealsLack of appetiteOvereatingBusy scheduleLate-night eatingSocial eatingPoor food disciplineLow energyDigestive issuesWhich supplements do you currently use? *Whey ProteinCreatineMultivitaminOmega-3Fat BurnerPre-workoutElectrolytesNoneOtherWho primarily prepares your meals? *SelfFamilyCook/ChefRestaurant/TakeoutMixedHow committed are you to following a structured nutrition plan? *What do you believe has prevented you from achieving your desired physique or nutrition goals so far? *Help us understand your training background, movement limitations and performance goals for accurate coaching customization.How would you describe your training experience? *----select----Beginner (0–6 months)Intermediate (6 months – 2 years)Advanced (2+ years)Returning After Long BreakHow often do you currently train per week? *0-1 days2-3 days4-5 days6+ daysWhat type of equipment access do you currently have? *Full GymHome GymMinimal EquipmentBody Weight OnlyNo EquipmentWhat type of training do you currently perform? *Strength TrainingFunctional TrainingCardioMartial ArtsSports TrainingMobility / FlexibilityRunningBody BuildingNoneDo you currently have or previously had any injuries, surgeries, chronic pain, or movement limitations? *Do you experience pain or discomfort during exercise or daily movement? *NeverOccasionallyFrequentlyDo you have any flexibility, mobility, balance, or movement restrictions? *I understand that physical training activities involve inherent physical risks, and I voluntarily choose to participate responsibly.Help us understand your training background, movement limitations, combat experience, and performance goals for accurate coaching customization.Do you have any flexibility, mobility, balance, or movement restrictions? *Do you experience pain or discomfort during exercise or daily movement? *NeverOccasionallyFrequentlyDo you currently have or previously had any injuries, surgeries, chronic pain, or movement limitations? *Do you have previous martial arts or combat sports experience? *No ExperienceBeginnerIntermediateAdvancedWhich combat disciplines have you trained in previously? *KickboxingBoxingMuay ThaiKarateTaekwondoMMAWrestlingJiu-JitsuNoneHave you participated in sparring sessions before? *Sparring is a form of controlled, practice fighting used in combat sports (like boxing, MMA, or karate) to train techniques, timing, and strategy without aiming to cause injury or a knockout.NeverOccasionallyFrequentlyWhat is your dominant fighting stance? *Orthodox(Right dominant)Southpaw(Left dominant)UnsureWhat are your primary kickboxing goals? *Fitness & ConditioningFat LossTechnique DevelopmentSelf DefenceSpeed & AgilityMobilityCompetitive TrainingConfidence BuildingI understand that kickboxing activities involve inherent physical risks, and I voluntarily choose to participate responsibly.CONSENT & LIABILITY WAIVERPlease read the following terms carefully before submitting this onboarding form. By continuing, you acknowledge that you fully understand the nature of nutrition coaching, transformation guidance, exercise recommendations, and lifestyle protocols provided by Game Of Physique. This section exists to ensure informed participation, mutual understanding, professional boundaries, and responsible coaching conduct. Your consent and acknowledgment are required before coaching services can begin.LIABILITY & INFORMED CONSENTI understand and acknowledge that: • Game Of Physique provides educational coaching, guidance, accountability, and transformation support related to nutrition, fitness, lifestyle, and physique development. • Coaching services provided by Game Of Physique and Aakash Tiwari are not intended to diagnose, treat, cure, or prevent medical conditions or diseases. • I understand that no guaranteed results, physique outcomes, fat loss targets, muscle gain targets, or performance outcomes have been promised. • Transformation outcomes vary depending on genetics, adherence, consistency, sleep, stress management, hormones, medical conditions, effort, and lifestyle factors. • I voluntarily participate in all coaching activities and understand that exercise, nutrition changes, supplementation, and lifestyle modifications may involve risks. • Potential risks may include, but are not limited to: fatigue soreness dehydration digestive discomfort allergic reactions dizziness injury aggravation of existing medical conditions • I understand that I remain fully responsible for consulting a qualified physician or healthcare provider before making significant changes to my nutrition, supplementation, or training. • I understand that recommendations provided during coaching are based on the information I disclose and may be affected if inaccurate or incomplete information is provided. • I agree to immediately inform the coach regarding any injury, discomfort, medical symptoms, medication changes, or health complications that arise during coaching.REFUND & SERVICE POLICYREFUND & SERVICE POLICY • I understand that coaching services are digital, personalized, and time-based in nature. • I understand that refunds may not be issued once coaching services, planning, assessments, or onboarding processes have begun. • I understand that coaching communication, adjustments, and support are dependent on timely client responses and adherence to check-in schedules. • I understand that abusive, disrespectful, manipulative, or unethical behavior may result in termination of coaching services without refund.Do you consent to the use of your transformation photos, testimonials, or progress updates for marketing or educational purposes? *Yes, I give consentNo, I do not give consentI confirm that I have read and understood the Consent & Liability Waiver provided above.I voluntarily agree to participate in coaching services provided by Game Of Physique.I understand that transformation results depend on consistency, adherence, effort, and individual physiological factors.I understand that coaching provided by Game Of Physique does not replace medical advice, diagnosis, or treatment from qualified healthcare professionals.I acknowledge that submitting this form acts as my digital signature, informed consent, and agreement to all terms stated above.Complete OnboardingPlease do not fill in this field.
