VIP Beginner Special

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VIP COACHING QUESTIONNAIRE
Remarks

I would like to thank you for taking the time to fill out this VIP Coaching Questionnaire. The goal of this questionnaire is to get to know a bit about you, your personal exercise history, and your goals. Ultimately, by providing me with more information in this questionnaire I will be able to more accurately provide fitness and nutrition recommendations that are tailored to your goals and provide you with the most expedited route to accomplishing them.
Which VIP Program Did You Register For?*

Personal Information
Name*
First Last
Email Address*

Phone Number*
Skype ID

This is the Skype ID that will be used to perform your bi-weekly Skype Checkin
Age*
Please enter a number from 1 to 100.
Gender*

Goals | Biometrics | Timeline
Please indicate your primary health and fitness goal:*
General health and fitness
Improve nutrition and diet
Reduce body fat and weightloss
Increase confidence and energy
Improve stamina and cardiovascular fitness
Improve muscular endurance
Increase muscular strength
Increase lean muscle mass
Increase strength and agility
Reshape physique
Enhance work, recreation and sports performance
Improve overall flexibility and mobility
Please indicate your secondary health and fitness goal:*
General health and fitness
Improve nutrition and diet
Reduce body fat and weightloss
Increase confidence and energy
Improve stamina and cardiovascular fitness
Improve muscular endurance
Increase muscular strength
Increase lean muscle mass
Increase strength and agility
Reshape physique
Enhance work, recreation and sports performance
Improve overall flexibility and mobility
Please indicate additional health and fitness goals:
(Check all that apply)
General health and fitness
Improve nutrition and diet
Reduce body fat and weight loss
Increase confidence and energy
Improve stamina and cardiovascular fitness
Improve muscular endurance
Increase muscular strength
Increase lean muscle mass
Increase strength and agility
Reshape physique
Enhance work, recreation and sports performance
Improve overall flexibility and mobility
Height (ft)*
Height (in)*
Current Weight (lbs)*
Give an educated answer if you aren't certain
Goal Weight (lbs)*
What is your timeline for reaching your goals weight? (weeks)*
Choose a realistic timeframe (e.g. 6 weeks to lose 10lbs)
Do you know your current body fat percentage?*
What is your current body fat percentage?*
Please enter a number from 1 to 60.
(e.g. 15 = 15%)
What is your goal body fat percentage?*
(e.g. 10 = 10%)
What is your timeline for reaching your goals body fat? (weeks)*
Do you have any dietary restrictions?*
(i.e. Low Glycemic, Vegetarian, etc.)
Choose which dietary restrictions fits you best:

Nutrition
Do you know your current daily caloric intake?*
What is your current daily caloric intake?*
(calories/day)
Do you have any experience tracking calories?*
e.g. MyFitnessPal
Yes
No
Given that you do not have any experience with tracking calories are you willing to try?*
Yes
No
Do you own a food scale?*
Yes
No

Exercise Background
Do you currently exercise?*
What is your CURRENT weekly activity level?*
Sedentary - Little or no exercise per day (e.g. office worker)
Lightly Active - Easy exericse/sports 1-3 days/week (e.g. light walking daily, gardening, cleaning, etc.)
Moderately Active - Moderate exercise/sports 3-5 days/week (e.g. construction worker -OR- person running one hour daily)
Very Active - Hard exercise/sports 6-7 days/week (e.g. agricultural worker [non-mechanized] -OR- person swimming two hours daily)
Extremely Active - Strenuous exercise/sports 7 days/week (e.g. competitive athlete)
How many days/week do you plan to exercise while following this program?*
Please enter a number from 1 to 7.
1 = 1 day/week
What exercise activities do you enjoy?
(e.g. strength training, running, hiking, recreational sports, etc.)
Please list any personal barrier to sticking with an exercise program:
Current lifting experience:*
Untrained/Beginner (less than 3 months of lifting experience)
Novice (3-9 months of lifting experience)
Intermediate (9 months - 2 years of lifting experience)
Advanced (2+ years of experience)

Exercise Programming
Do you have regular access to a gym?*
Yes
No
Every now and then
How many days/week would you like to resistance train?*
It is recommended that you perform a minimum of 3 resistance training days per week to see consistent improvements.
Where will you primarily be exercising?*
A gym
At home
Outside
How many days per week will you be exercising at the gym?*
Please enter a number from 1 to 7.
1 = 1 day/week
How many days per week will you be exercising at home?*
Please enter a number from 1 to 7.
1 = 1 day/week
How many days per week will you be exercising outside?*
Please enter a number from 1 to 7.
1 = 1 day/week
Do you have body part specific goals?*

Body Specific Goals
This portion is for individuals that have body part specific goals. If you do not have any specific body part goals then you can opt to skip these questions.
Chest Goals:
Pectoralis Major and Minor, etc.
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility
Back Goals:
Lats, Rhomboids, Erectors, etc.
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility
Upper Leg Goals:
Hamstrings, Quads, Glutes, etc.
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility
Core Goals:
Abdominal, Lower Back, etc.
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility
Shoulder Goals:
Anterior, Posterior, Lateral Deltoids, etc.
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility
Arm Goals:
Biceps, Triceps, and Forearms
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility
Lower Leg Goals:
Calves
Increase muscular endurance
Increase muscular strength
Increase lean muscle mass
General toning (reduction of body fat and increase of definition)
Improve flexibility and mobility

Health History Questionnaire
General questions regarding your health history, medical diagnoses, and risk factors
Have you ever been diagnosed with or suffered from:
(Check all that apply)
Pain, discomfort, tightness or numbness in the chest, neck, jaw or arms
Shortness of breath at rest or with mild exertion
Orthopaedic problems
Severe headaches
Heart murmur and/or palpitations
Dizziness or fainting
Ankle swelling
Rapid pulse or heart rate
Back pain
Other
Please elaborate below:
Have you ever been diagnosed with or suffered from:
(Check all that apply)
Chronic bronchitis
Diabetes
Osteopenia
Asthma
Thyroid problems
Emotional disorders
Cancer
Peripheral vascular disease
Osteoporosis
Emphysema
Hypertension (>140/99 mmHg)
High cholesterol (>200 mg/dL)
Eating disorders
Other
Please elaborate below:

Physical Activity Readiness Questionnaire (PAR-Q)
Please answer all of the following questions:
Has your doctor ever said that you have a heart condition or that you should NOT do physical activity?*
Yes
No
Do you feel pain in your chest when you do physical activity?*
Yes
No
In the past month, have you had chest pain when you were not doing physical activity?*
Yes
No
Do you lose your balance because of dizziness or lose consciousness?*
Yes
No
Do you have a bone or joint problem that could be made worse by a change in your physical activity?*
Yes
No
Is your doctor current prescribing drugs (i.e. water pills) for your blood pressure or heart condition?*
Yes
No
Do you know of any other reasons why you should not do physical activities?*
Yes
No

Informed Consent
I understand that this consultation questionnaire has been provided for the purpose of helping me better understand any potential risks associated with a workout program. I also understand I should share this information with my physician and seek his/her approval prior to beginning an exercise program. I understand that the information I have provided will be used for exercise and nutrition programming purposes only. My agreement to these conditions signifies that all of the above is true, to the best of my knowledge. Any information left unanswered was done so intentionally. If any of the above information changes, I agree to notify these changes, via email, to EXALTED VIGOUR ATHLETICS personally.
I agree to the following terms & conditions:*
Yes
No
Name
This field is for validation purposes and should be left unchanged.

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Friends and Family Coaching Trial

WELCOME!

First and foremost, thank you for your interest in trying out one of our coaching programs. This exclusive offer was created for friends and family of the EVA community (aka you know me - Germain - or one of our coaches and you are getting an exclusive next level deal).

What's so great about this offer?

As I stated, this offer is exclusive. So only you and a select few will ever have access to this offer.

What is the offer?

Short answer, FREE Coaching.

More specifically, you are eligible for one of the following, and absolutely FREE, programs:

One month of any of our coaching programs (e.g. Hollywood Physique, Venus Physique, etc.).

One month of VIP Nutrition Coaching.

50% off your first month of VIP Fitness Coaching.

Knowing people comes with a whole lot of perks. Right?!

So moving on... The purpose of this form is two-fold.

To help you determine which coaching program will best fit your goals/needs.

To get you enrolled in your coaching program of choice.

So without further ado... Let's get to building your ideal physique!
Name*
First Last
Email*

How did you hear about us?*
Gender*
Do you know which coaching program you're interested in?*
Which coaching program are you interested in?*
Which coaching program are you interested in?*

Women's Coaching Programs
Venus Physique Coaching is a full-blown coaching program designed for women who want to look slim and drop-dead gorgeous in a bikini, leggings, or any outfit for that matter. The premise behind this physique is simple. Building a slim physique with a low body fat, having a desirable shape (no big bulky and thighs) and a flat stomach. Think of Victoria Secret Model Adriana Lima or Kaley Cuoco from The Big Bang Theory. This coaching program is designed to expedite fat loss inside the gym and also work on toning the right muscles so your physique looks phenomenal.

Belladonna Conditioning Coaching is about reaching a level of conditioning that is powerful and muscular, yet still feminine; think of fitness models Massy Arias or Jamie Eason. The foundation of this conditioning program is quite simple. Performing impressive feats and bouts of strength and looking the part too. This program is about becoming a commanding and powerful woman through strength and conditioning; the physique aspect of this program is just a byproduct of your hard work inside the gym and through diligent dieting.

VIP Fitness Coaching is for both men and women who want service beyond that of a regular personal training session (i.e. nutrition plan, meal plan, workouts for every day of the week, etc.). With VIP fitness coaching you don’t need to worry about breaking the bank, you don’t need to feel like your nutrition is letting down your workouts, and you won’t be following a one size fits all approach to your goals.

VIP Nutrition Coaching is for both men and women who are looking to revamp their nutrition program and make it work for them rather than against them. This means mastering the kitchen so you can see and enjoy the fruit of your workout labor. VIP Nutrition Coaching is a tailor-made nutrition program designed specifically for your nutrition goals.
I'm really interested in:*

In-Depth Look

If you're interested in one of our Women's or VIP Coaching Programs, but want a bit more information, check out this link.

The link will open in a new tab. When you are done browsing through our women's programs just come back to this tab and finish filling out the form.

PS If you want an even more in-depth look at a specific program, click on the shop button at the bottom of each description.
Men's Coaching Programs
Hollywood Physique Coaching is designed for those who want to mold their physique to rival that of Chris Hemsworth in Thor or Christian Bale in Batman. Building a physique that is complete with full and well-developed muscular proportions and isn’t just for show. This is an advanced coaching program tailored for people who have a decent amount of muscle, but want to bring their physique to the next level; going from respectable to unreal and drop-dead striking.

Adonis Conditioning Coaching is designed for those who want to be deceptively strong and look the part as well. Accompanying remarkable strength feats with a downright shredded physique. Think Ryan Reynolds in Blade Trinity or Zac Efron in Baywatch.

VIP Fitness Coaching is for both men and women who want service beyond that of a regular personal training session (i.e. nutrition plan, meal plan, workouts for every day of the week, etc.). With VIP fitness coaching you don’t need to worry about breaking the bank, you don’t need to feel like your nutrition is letting down your workouts, and you won’t be following a one size fits all approach to your goals.

VIP Nutrition Coaching is for both men and women who are looking to revamp their nutrition program and make it work for them rather than against them. This means mastering the kitchen so you can see and enjoy the fruit of your workout labor. VIP Nutrition Coaching is a tailor-made nutrition program designed specifically for your nutrition goals.
I'm really interested in:*

In-Depth Look

If you're interested in one of our Men's or VIP Coaching Programs, but want a bit more information, check out this link.

The link will open in a new tab. When you are done browsing through our men's programs just come back to this tab and finish filling out the form.

PS If you want an even more in-depth look at a specific program, click on the shop button at the bottom of each description.

Almost There!

TERMS & CONDITIONS

In order to receive a complimentary friends and family coaching trial you will be required to do 2 of the following things.

Write a review on your experience with your respective coaching program upon completion of your trial.

Attach before and after pictures to your review. You are more than welcome to use the pictures that you have submitted via the EVA App.

NOTE: Your testimonial will not be published on a social media platform (i.e. Facebook, Instagram, etc.) unless you have given your explicit permission to do so. However, your testimonial will be used as an unbiased consumer review of your experience with your respective coaching program.
Do you agree to the terms and conditions listed above?*
Do you give EVA permission to post your progress pictures and/or testimonials on social media?*
Testimonial Alternative
Given that you have some reservations on progress pictures and/or writing a testimonial. How does reducing the offer to 50% off your first month of Friends & Family coaching sound?*
Given that you have some reservations on progress pictures and/or writing a testimonial. How does reducing the offer to 25% off your first month of VIP-Fitness coaching, rather than 50% off your first month sound?*

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CLIENT TESTIMONIAL FORM
Name*
First Last
Email*

Instagram handle
PS You don't have to add the "@".
Which coaching program are you writing a testimonial for?*

Before Signing Up
Did you have any reservations before signing up for your coaching program?*
Can you describe some of the reservations you had before signing up?*
Can you explain how we were able to help you overcome your reservations?*
What problem(s) were experiencing before signing up for your coaching program?*
Did you try anything prior to this coaching program to solve your problem(s)?*
What did you try before?*

Tell Us About Your Coaching Experience
What were your top 1-2 goals when you started your coaching program?*
What were you able to accomplish as a result of signing up for EVA coaching?*
(e.g. lose 5% body fat, improve cardiovascular fitness, improve self-confidence, etc.)
What are you most proud of?
What kind of compliments have you received since you started your fitness transformation?
What do you see when you look in the mirror?
Would you recommend EVA coaching, if so why?*
What would you say to someone who is on the fence about signing up for an EVA Coaching Program?*
Is there anything else you'd like to add?

Progress Pictures
Which progress pictures would you like us to use for your testimonial?*
Upload your initial set of progress pictures*

Drop files here or

Date of your initial set of progress pictures*
Date Format: MM slash DD slash YYYY

Upload your most recent set of progress pictures*

Drop files here or

Date of your most recent set of progress pictures*
Date Format: MM slash DD slash YYYY

Room for Growth
We always want to improve our quality of service. Here's your chance to give us some insight on how we could have improved your overall experience and/or express any concerns you may have had while coaching with us.
What is the one thing you could not have lived without in your coaching program?
What are two other features you benefitted from throughout your coaching program?
Is there anything you would like to see included as standard in your coaching program?
Is there anything that you didn't particularly like about your coaching program?
Is there anything else you would like to comment on?

One Last Thing!
Would you like to review your compiled testimonial before it's published?*

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Meredith R.

“High school and the beginning of college probably were some of the most toxic times for me. Before I can remember I was playing competitive soccer so I always had workouts planned for me. On top of that, I was extremely confused about how to maintain a balanced diet and developed a very twisted perspective on a “healthy diet”.

I started struggling disordered eating in high school and that continued into early college. Due to a lack of knowledge of how to develop a structured workout plan, I became a “cardio bunny” and my weight fluctuated between 35 lbs. Germain and I met my freshman year and it became very evident how dedicated he was working as a personal trainer at NCSU. He became one of the few people aware and who I could trust knowing about my previous struggles with eating disorders. On October 14, 2014, my dedication to fitness completely changed.

He developed a fitness plan designed to achieve each of my goals, whether it was to build or strengthen a particular muscle group and made any adjustments as needed throughout the process. Germain also calculated macros that helped me approximately lose 20 pounds and see increases in lean body mass. I am knowingly aware that I did not make things easy for him as a coach as I was constantly asking questions, wanting detailed explanations behind why I was doing certain things and was adjusting to eating more food than I had the past three years. Never once did he ignore a question or fail to provide an explanation to my questions. He helped me transform from someone who ran 7 miles a day to someone who is more concerned about lifting heavier in deadlifts (my favorite lift).

I went from being lucky to eat a full meal in one day to eating multiple meals throughout the day, doing minimal cardio, and enjoying every part of the process. I guarantee that Germain is the guy for you if you want to see success in your fitness journey and want a dedicated coach.”

“I’ve been active ever since I could walk. Starting with ballet and gymnastics at the age of 4 and eventually transitioning into competitive cheerleading, hip-hop dance, and volleyball. When I went to NC State in 2012 I carried on being active by playing club Volleyball and after a year of doing that I decided to pursue another passion of mine, fitness.

During my sophomore year, I went through a course, audition, and interview to become a group fitness instructor, which led me on an incredible fitness journey that lasted throughout the entirety of my undergraduate career.

For 3 years teaching group fitness was a very big hobby of mine, though one that I decided not to continue after graduation, mainly because I was really excited to not have to plan my personal workouts around the classes I was teaching. I wanted to be able to focus on just myself for the first time in 3 years. Little did I know, I would enter the biggest fitness rut of my entire life.

For about 3 months, after graduating, my desire, motivation, and passion to workout felt like it had completely burnt out. Eventually, I knew something had to give, I gained weight and was simply not feeling like myself.

Thankfully, I happened to know Germain from working at NCSU University Recreation and I always enjoyed working out with him. And by working out with him I was always impressed with his immense knowledge, especially when it came to nutrition; which inherently contributed to my decision to sign up for Venus Physique Coaching.

While I’ve never been one to obsess or focus on a number on a scale, I really did want to set a quantifiable goal to track my progress, so I decided I wanted to lose 10-15 pounds. However, I really just wanted to feel better about myself and the way I looked in the mirror. I wanted to tone a lot of different parts of my body, especially my hamstrings and legs. I’ve always been one to carry my weight there and I’ve never really like my legs, especially the backs of them.

Though I’ve always iterated how important it is to find something you love, whether it be lifting heavy weight, swimming or dancing. I’ve always felt my best when I’m active and mentally healthy and a huge component of that is fitness, but I was in a rut and I just couldn’t get out of it on my own. I didn’t want to workout and I didn’t want to go to the gym.

Gratefully, after 2 months of VPC coaching I was able to lose 12 pounds, and more importantly, I regained the self-love and confident that I always promoted to my participants as a fitness instructor. I can’t thank Germain enough for helping reinvigorate my passion for fitness and to help me rediscover my niche.

I’m super proud of my stamina and endurance that I’ve built up in the last 2 months. There is nothing quite like the euphoric high you get when you finish a 1000-meter row or 1-mile run AND beat your last time. I’m also super proud of my booty and the backs of my legs.

I consistently get compliments all the time that start out as a question, “Do you workout?”, which is always followed by “What do you do for your butt?”. It’s always a little embarrassing, but always flattering. I also get a lot of compliments on my “slim” stomach which I absolutely attribute to nutrition, which makes Germain’s extensive nutrition knowledge so very valuable.

Now when I look in the mirror I can happily say I see a beautiful, happy and healthy girl.

Beyond the shadow of a doubt, I cannot recommend EVA coaching enough. To put it simply, Germain knows what he is doing. I was super fortunate to work alongside Germain as part of University Recreation and was always taking advantage of opportunities to take his group fitness classes or workout with him in the gym. He has a program for everyone and the amount of depth of knowledge that allows him to cater and customize workout regimens and meal plans for all of his clients is second to none.

If you’re still on the fence about signing up for an EVA Coaching Program the best advice I can give you is to just DO IT! If you’re even contemplating it the slightest bit, just sign up! You really don’t have anything to lose. The investment you make in yourself will reap benefits for a lifetime. We only get one body while we’re here on earth, love it well and take care of it… and if you need help doing it, I surely did, there’s no shame in that.

Before wrapping up I want to mention that the app is amazing, it’s super easy to use which is monumental coming from someone who is not the slightest bit ‘tech savvy’. Another aspect of the program which was monumental to my success is the access you get to Germain. There were several times I was in the gym and had a question about a workout or exercise and thought to myself, “there’s no way he’s going to be able to answer in time for it to be helpful during this workout” but low and behold he always responded unbelievably quickly.

Another super helpful aspect was the regular Skype calls to talk about progress, difficulties, likes, and dislikes. There were several times Germain was able to help me adjust my nutrition in order to compensate for a planned dinner out, drinks, or something of that nature. I think it’s really important to realize you can eat things you enjoy but to not just whimsically eat or drink whatever you desire if there are goals you are trying to achieve. He helped me plan accordingly and adjust my diet as needed and I can’t thank him enough for all the help he’s given me so far.”

– Becca L.

*Please note individual results may vary.

VIP Beginner Special

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VIP Coaching Beginner Special

Terms & Conditions

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