SimSolutions Intake Form 2016

Name:

Age:

Height:

Weight:

Please attach current physique photos to reply email.

*Men- In Shorts or Posing Trunks (front and back relaxed)
*Women- In Bikini or Posing Suit (front and back relaxed)
*Please take photos in “good” lighting and using a “white
background” is highly Preferred*

1. What does your current diet/meal program consist of?

(Please be specific with all portion sizes, sources, etc., you may also
include journal entries, my fitness pal daily diary, or excel spreadsheets)

2. Do you have any food allergies? Have you ever received a "Food Safe
Allergy Test"? (If so, please attach to reply email)

3. Do you have any current or past medical conditions and/or issues that I
need to be aware of? (If so, please include all meds and dosages)

4. What kind of Natural and/or Super Supplementation and/or Vitamins are

you currently on? (Please include all dosages, and how many times taken
throughout the day)

5. What kind of training and cardio do you do on a daily basis? (Please be

specific with splits, volume, intensity, duration, etc.)

8. What is your ultimate goal with your physique and what would you like to
see happen with our guidance and expertise?

9. Do you have any social media profiles such as FaceBook and

Instagram? Please list your screen names below. This will help us to add
you to progress photos, should we decide to use them and any future
announcements regarding our business.

10. Please Note any important history and information you would like us to
know about your previous history regarding health and/or competition.

Price List Summary:

Payment Option:
Paypal (MUST be sent in US DOLLARS) AJ.SIMS888@GMAIL.COM

When choosing the Payment Plan option, PayPal Fee is included

in Fee Payment.

Once program is received, there are No Refunds. Please see

Welcome package for more information. Once payment has been
cleared through Payment Method, please expect your customized
program in 72hours.

We do not provide “Grocery Lists” or “Food Lists” before receiving

your program, please expect your customized program with all foods
listed in the 72 hour time frame.

**Please be aware that TeamSimsOfficial@Gmail.com is solely used

for New clients to receive the forms necessary to proceed to work
with our company.**

Once you have received your program, please review the program in
its entirety, and email all of your questions at once. Sending multiple
emails, will result in not getting responses due to them getting lost.
Thank you.

Rates :
** $309.27/Month (Paypal Fee is included in Pricing)
-Customized Nutrition, Supplementation, and cardio updates
-Unlimited Email Support (Please allow 24-48hours for a response)
The last 3-4 weeks of contest prep will include text messages and
“possibly “scheduled phone calls, if they are needed.
Between business hours 7am-7pm EST Mon-Sat. (off on Sunday)
-Team Sims Weight Training Template. You will receive Only 1 training
template upon signing up for our services. After receiving 1 template we
will send up to 4 movements for only 1 lagging body part. In order to
receive training templates every 4 weeks please see fee details
below.
-Fee includes 1 reverse diet Post Show (Upon Request) (with NO
changes/revisions, if monthly payment is not received to continue
services). Typically we recommend a minimum of 8 weeks to fully reverse
diet with changes each week to every other week to reverse diet properly.

* Contest Prep Rush Fee 9 weeks out or less:

Please ask for specific details and pricing.

* $77.55/Month SimSolutions Weight Training Template- We will send 1

weight training Template per month or once every 4 weeks.

* For Show Day Assistance Fee (Hotel costs, travel costs, tickets for
venue and/or backstage pass fee)
ALL Pricing is subject to change
Local Shows- $150 and up
NPC National Level Shows & IFBB Pro Shows- $300 and up

 For Competition Posing: Please contact Kenny Wallach at

www.posingbykenny.com and let him know that “SimSolutions”
either Nikki or Aj (whomever is providing your coaching)
referred you. His assistant will provide you with the schedule
and fees.

With Discount for Upfront Fee:

$1050.00- 16 weeks + PayPal Fee=$31.67

Total: $1081.67

$3300.00- year + PayPal fee=$98.87

Total: $3398.87