8 Week Challenge Questionaire
Thank you for deciding to take the next step in reaching your health & fitness goals. This is a comprehensive 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:
Do you have any allergies, intolerances ect?
What is your current relationship with food?
How many litres of water do you consume each day?
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 ensure you have access to a set of dumbells for your program.
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)
Are you currently taking any supplements/medication?
As well as any other information that may or may not be relevant.
Waiver
Signature
Continue
Continue
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