• Step 4: Nutrition & Sport

• Name:*
  First nameLast name

• Part 1: Nutrition

• Do you find it difficult to lose weight?*
  YesNo
• More info, if relevant:
• Metabolism*
  Fast metabolismSlow metabolism (problems losing weight)Normal metabolism (through conscious nutrition and exercise it is possible to control weight)
• Back

  Next

• Diet Preferences & Intolerances

• How do you eat at the moment?*
  EverythingVeganVegetarianPescetarianWhole foodNo pork meatNo red meatOther
• Food allergies and intolerances:*
  FishShellfish allergyEggSoyNutsPeanutsLactoseGlutenNone
• Other foods you don't like to eat:*
• Are there certain foods that will make you bloated or tired after eating them?*
• Your preferred cooking time / preparation time:*
• Favorite meals / dishes?*
• Back

  Next

• Eating Habits

• I frequently eat the following foods:*
• Food

  Rows	Never	Sometimes	Regularly	Daily
  Coffee
  Chocolate
  Sweets
  Sweet drinks
  Drinks from plastic bottles
  Salt
  Sugar
  Alcohol
  Drugs
  Tobacco
  Fried / breaded
  Meat
  Fish
  Cereal products (bread, pasta, pasta, etc.)
  Dairy products
  Eggs
  Butter / coconut oil / avocados
  Vegetable oils (rapeseed oil, sunflower oil, safflower oil, ...)
  Dietary fiber (flaxseed, psyllium)
  Vegetables
  Fruit
  Nightshade family (tomatoes, potatoes, aubergines, peppers, blueberries)

• Dietary Supplements / Supplements you take:*
• Back

  Next

• Meal Times

• How often do you currently eat a day:*
  12345
• How much time is there usually between your meals?*
  1-2 Hours3-4 Hours4-6 HoursMore than 6 hours
• How many times a week are there more than 3-4 hours between your meals?*
  0-1 days / week2-3 days / week4-5 days / weekAlmost every day
• Are there any meals that you regularly skip?*
  BreakfastLunchDinnerNo, I regularly eat all meals.
• If so, how many times a week?
• Back

  Next

• Meals

• Appetite for breakfast:*
  LittleMildHigh
• What do you usually have for breakfast?*
• Appetite for lunch:*
  LittleMildHigh
• What do you usually eat for lunch?*
• Appetite for snacks:*
  LittleMildHigh
• What do you usually eat / snack in between?*
• Appetite for dinner:*
  LittleMildHigh
• What do you usually eat in the evening?*
• Do you sometimes eat out of boredom, tiredness, anger, or when you are sad?*
  YesNo
• If so, what is it usually?
• Back

  Next

• Part 2: Activity Level & Training

• Activity Level

• How active are you during the week?*
  Somewhat active - a little hiking / biking every now and then, but otherwise not as activeModerately active - lifting weights, running, or doing another sport 1-2 times a weekActive regularly - lifting weights, running, or doing another sport 3-4 times a weekVery active - exercising, running, weight lifting almost every day - sometimes several times a day
• How do you work through the day?*
  Mostly seated - mainly working in the officeMainly working standing and run during the dayStanding or walking around most of the day - "walking" from meeting to meetingPhysically demanding work throughout the day

• Injuries & Limitations

• Have you ever been advised not to exercise?*
  YesNo
• More info, if relevant:
• Do you have any unusual symptoms when you exercise?*
  YesNo
• More info, if relevant:
• Do you have any injuries we should know about?*
  NoneKneeShoulderBackOther
• If applicable, what exercises are you unable to do due to your injury?
• Other muscular restrictions - less mobility, pain, etc .:*
  YesNo
• More info, if relevant:
• Back

  Next

• Training Preferences

• How many times a week can / do you want to train?*
  1 time2 times3 times4 times5 times6 times7 times
• How long can / do you want to train per session?*
• How experienced are you with strength training?*
  I'm a beginner or have only trained a few times.I've been training for a while and I know the basics.I've been training for more than two years and I feel safe with weight training.
• Where do you want to train*
  OutdoorsHomeIn the gym (if possible)Other
• Which exercises / which training session do you enjoy the most?*
• Things you don't like about sports / training?*
• How and when are you currently training?*
• What equipment can you use? (At home / studio)*
• Sport activities years ago and now:*
• Back

  Next

• Part 3: Habits & Routines

• Routines

  Rows	Never	Sometimes	Regularly	Always
  I eat out a lot
  I have a fixed morning and evening routine
  I check my cell phone after getting up
  I meditate daily
  I stretch regularly
  I do breathing exercises regularly
  Several times a week I have some planned time out (yoga, massage, reading, ...)
  I keep a daily journal
  I work with a to-do list
  I would see myself as structured
  I plan my meals and purchases
  In principle, I am always available
  My notifications on the mobile phone are on (e.g. SMS vibration, etc.)
  I spend a lot of time in nature / outdoors / in the sun (if so - how often about / per week?)
  I am often lost in thoughts
  I spend enough time with my partner / friends

• Any other good habits you used to have or still have?*
• Any bad habits that you currently have or that are holding you back?*
• General additions / comments:
• Submit
• Should be Empty: