GetShredGo Fitness Assessment Form
Let's get started
Name
*
First Name
Last Name
Email
*
example@example.com
Age
*
Sex
*
Male
Female
Whatsapp Number
*
-
Country Code
Phone Number
Which mode of communication works best for you?
Email
Whatsapp
Other
What's your goal / aim with this fitness program?
Please be as descriptive as you can be
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Let's do some measurements
Will help me to understand where to start from
Height (in cm)
*
Current Body Weight (Kg)
*
Please measure the following (in inches):
Please measure the following (in inches):
Please upload a Front photo with whole body visible in a mirror
Please upload a Side photo with whole body visible in a mirror
Please upload a Back photo in a mirror
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Healthy & Unhealthy Habits
Lifestyle
Sedentary
Moderately Active
Active
Very Active
Exercise
Never
1-2 days
3-4 days
5+ days
Alcohol Consumption
I don't drink
Rarely
Socially
Regularly
Caffeine Consumption
I don't use caffeine
1-2 cups/day
3-4 cups/day
5+ cups/day
Do you smoke?
No
0-1 pack/day
1-2 packs/day
2+ packs/day
Do you have any of the following conditions?
High/Low BP
Diabetes
Hypertension
Hyperuricemia
Hyperglycemia
Thyroid
PCOS
PCOD
Kidney Stones
Vitamin Deficiency
Physical Injury
Other
Any other medical history I should know about before starting?
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Eating Habits
Diet Type
*
Vegetarian 🥗
Eggetarian 🥚
Non Vegetarian 🍗
Vegan 🥑
Other
Have you ever tried dieting before? Please share your experience
Food items which are a 'must include' as per you in your diet?
These are the items you really 😍😍😍
Are you allergic to any food items?
How often do you eat outside / order from Swiggy / Zomato?
Never
1-2 days / week
3-4 days / week
5-6 days / week
I own a restaurant
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Training & Exercise
Have you ever worked out before? Please share your experience.
Which one do you prefer?
Can go to gym
No time for gym, only home workouts
How much time per day can you give for your workout?
Any regular pain anywhere in the body?
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Should be Empty: