email this form to derek@scivation.com after filling it out


Full Name:
Screen Name on Message Boards (if applicable):
Sex (Male or Female):
Where did you hear about Team Scivation?:
If on a message board which one?:

Stats
Age
Height
Weight
Body fat% (if possible)
Muscle girth measurements
o i.e. Bicep size
Phenotype
Ectomorph
Mesomorph
Endomorph
Training
Current program
Current squat, bench, deadlift strength (current lifts, not 1-rep max)
Any exercises you cannot do due to injury?
Do you train at home or at a gym?
If at home, what equipment do you have?
How many days a week can you train?
Diet
Current diet
Total calories
Grams of Protein, Carbs, and Fat
Favorite foods
Foods you hate/will not eat
Supplements
All supplements you currently have
Monthly allowance for supplements
Goals
What exactly do you want to accomplish (be as specific as possible)?
Do you want to focus on losing fat OR gaining muscle (pick one, not both)?
Daily Schedule
When do you wake up?
When do you workout?
When do you go to sleep?

im 5ft 8 in 256lbs i eat alot of steak red meats potatoes and tons of pasta i havent worked out in a year mainly do to a motorcycle accident still dealing with slight tear in right shoulder dr. said i can workout just need to limit overhead exercises i also have a screw in right foot about 3 yrs old now but hurts if i run to far but im chalking that up to way to much fat being carried around i work at steel mill so i work all three shifts eat at crazy times and sleep at crazy times also do to economic times i just got back to 40 hrs so budget is kinda tight i have a bench in garage and looking to joining a new gym here in LaPorte the ymca sucks i used to go to y in portage it was decked but i didnt utilize like i shoul of .thank you in advance to any info you can give in helping me achieve a better me.

nathanael mixon, mr.texashopeful, Male, i use xtend, 17, 145lbs, 5'7, 16in, mesomorph, current program is pyramid training low reps 5 4 3 3 4 5, squat 315, bench 185, deadlift 245, train three days a week, no diet I take in about 2400 calories a day, 40%protein, 30%carbs,30%fat, favorie food is pizza, hated food is asparagus, xtend and nitrotech, 30 dollars for supplements, I want to gain muscle and lose fat so I can compete in my first competion, I wanna focus more on gaining muscle, I wake up around 7, I try to workout about 12, I got to bed around 11.