FIGHT MILK

ATHLETE CONSULT INFORMATION FORM

Your privacy is important. All information submitted through this form is strictly confidential and will be used solely for the purposes of educational consulting regarding performance enhancement strategies.

-Your data will not be shared, sold, or disclosed to any third parties.

-Information provided will be securely stored and accessed only by the consultant.

-You may request deletion of your information at any time.

-This consultation does not constitute medical advice or diagnosis.

By submitting this form, you consent to the collection and use of your information as described above and you acknowledge and agree to the Disclaimer & Terms

Full Name

Instagram [for contact purposes- not essential]

Age

Sex

Current weight [KG]

Height [FEET & INCHES]

Country

Occupation

What are your goals with PED use

What do you want out of this consult

Which consult variation are you after

Please list any steroids you have used, what dosages, and for how long if applicable

Please list any steroids you have used,

what dosages, and for how long if applicable

If you have used other PED's please list them, their dosages and how long you ran them

[Growth Hormone, Peptides, Stimulants, Insulin, Nootropics etc]

If you have used other PED's please list them, their

dosages and how long you ran them [Growth

Hormone, Peptides, Stimulants, Insulin, Nootropics

etc]

Out of the compounds listed above [steroids or otherwise] were there any noticeable good

effects/experiences you would like to mention

Out of the compounds listed above[steroids or

otherwise] were there any noticeable good

effects/experiences you would like to mention

Have you experienced any side effects, if so please elaborate

Have you experienced any side effects, if so please

elaborate

Do you drink, smoke or use recreational drugs

How is your sleep

Do you do anything for nutrition specifically [track macros, nutritionist etc]

Do you do anything for nutrition specifically

[track macros, nutritionist etc]

Do you use any supplements or medication

Do you have access to a doctor or clinic for regular bloodwork

Do you have access to a doctor or clinic for regular

bloodwork

Do you have access to reliable sources for compounds

Do you have access to reliable sources for

compounds

Do you currently have any diagnosed medical conditions or medical concerns

Do you currently have any diagnosed medical

conditions or medical concerns

What sport or training style do you practice

How many years have you trained seriously

How long have you been using PED's, specify when you started steroids specifically

How long have you been using PED's, specify when

you started steroids specifically

If you compete in powerlifting; what are your SBD numbers [skip if this doesn't apply]

If you compete in powerlifting; what are your SBD

numbers [skip if this doesn't apply]

Describe your current training split roughly

Do you have any immediate or long term goals, what is the timeline for reaching them

Do you have any immediate or long term goals,

what is the timeline for reaching them

Do you have any specific questions for me that you would like answered

Do you have any specific questions for me that

you would like answered

Do you acknowledge that this consultation is for educational purposes only, I am not a doctor and this
is for not medical advice?

Do you acknowledge that this consultation is for

educational purposes only, I am not a doctor and

this is for not medical advice?