Online Food & Training Introduction Questionaire
Thank you for deciding to take the next step in reaching your health & fitness goals. This is a comprehensive food & training questionaire so I can gather the relevant personal information so I can provide you with the optimal nutrition and training plan to suit you, your lifestyle & your goals.
Basic Information
Please answer all the questions in detail and honestly.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Age:
Height:
Weight:
D.O.B:
Goal: In detail what is your current goal? (Body & fitness related) Do you have a specific timeline for this goal?
Food & Drinks:
Please provide a meal diary of what you would normally eat on a daily basis, include any drinks or snacks.
What are your favourite foods?
What foods do you not like/eat?
Do you have a preference of how many meals/snacks you would like per day?
Are you intolerant to any foods?
Do you have a preference of how many meals/snacks you would like per day?
What is your current relationship with food?
How many litres of water do you consume each day?
Do you consume any other liquids on a daily basis? Eg: coffee, fruit juice ect
As well as any other information that may or may not be relevant
Training:
Are you currently training?
Yes
No
If yes, please go into detail with type of training (weights, cardio ect), length of sessions (eg. 45 mins), intensity of sessions & how many times per week
How many times a week can you realistically commit to training?
Will you be training at gym or home? If home, please specify what equipment you have access to.
As well as any other information that may or may not be relevant
Lifestyle
What do you do for a living?
How active are you at work?
Low (seated, desk work)
Moderate (light walking, retail)
High (physical worker/tradie)
Does your job involve shift work or what is your normal working day?
How many hours of sleep do you get each night?
What are your stress levels like? (work & home life)
How much alcohol do you consume a week?
Are you currently taking any supplements/medication?
As well as any other information that may or may not be relevant.
How do you feel during the day? (tired, energized, exhausted)
Waiver
Signature
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