Lifestyle Audit

1
What are your current health or fitness goals and why?* This field is required.
2
How consistently would your breakfast/first meal of the day contain at least 30 grams of protein and at least one serve of fruit?* This field is required.e.g. protein powder, eggs, high protein yogurt plus one piece of fruit
Never
One-two times a week
Three-four times a week
Five-six times a week
Seven days a week
3
How consistently would your lunch/second meal of the day contain at least 30 grams of protein and at least one serve of vegetables?* This field is required.e.g. tofu, falafal, meat substitutes, chicken, fish, red meat, eggs, legumes, protein powder plus a salad
Never
One-two times a week
Three-four times a week
Five-six times a week
Seven days a week
4
How consistently would your dinner/third meal of the day contain at least 30 grams of protein and at least one serve of vegetables?* This field is required.e.g. tofu, falafal, meat substitutes, chicken, fish, red meat, eggs, legumes, protein powder plus a salad
Never
One-two times a week
Three-four times a week
Five-six times a week
Seven days a week
5
What does your snacking in between meals look like?* This field is required.e.g. is it deliberate vs random, how hungry are you when you snack and what is the quality of the food
No real pattern at all, often replaces main meals, ravenous at the time, always packaged food (chips, biscuits, lollies etc.)
Occasionally planned but mostly random, sometimes replaces main meals, hungry at the time, mostly packaged foods
Sometimes planned, often hungry at the time, mix between high protein/fruit and packaged foods
Mostly planned, mild hunger at the time, mostly high protein/fruit options with some packaged
Always planned, complements main meals, eaten before extreme hunger kicks in, always high protein/fruit options
6
When you eat 'less of' food (chips, biscuits, lollies, ice cream, chocolate, baking etc.), how difficult do you find it to stop at an amount you are comfortable with? * This field is required.e.g. you have to finish the whole bag vs. being able to stop yourself
Extremely difficult - I can never stop myself
Hard
Medium
Easy
Extremely easy - I can always stop myself
7
How often would you have sugary drinks?* This field is required.e.g. energy drinks, juice, soft drinks
More than once most days
Seven days a week
Four-six times a week
Two-three times a week
Very rarely / they are always sugar free
8
How often do you eat out or have takeaways?* This field is required.e.g. bakery, drivethrough, delivery, restaurant, cafe
Over 3 times a week
2-3 times a week
1-2 times a week
Once a week
Never or very rarely
9
What does your general food and meal preparation look like?* This field is required.e.g. are you thinking about your meals prior to each week and making deliberate supermarket trips to get everything you need
No plan at all - no planning of food, frequent supermarket trips most days, no food prep, inconsistent time and number of main meals each day
Occasionally planned
Sometimes planned
Mostly planned
Always planned - weekly food plan, once weekly main shop, all necessary meals prepped, same number and time of main meals each day
10
How often are you resistance training each week?* This field is required.e.g. lifting weights
Never
Once a week
Twice a week
Three times a week
More than three times a week
11
Can you perform the following strength movements?* This field is required.If you can perform some but not others in a number, select the number where you can perform ALL the movements.
I can't do or haven't tried any of these movements
Bodyweight (no weight) squat AND incline/knee press up
Weighted squat AND full press up AND kettlebell deadlift
Weighted squat AND full press up AND barbell deadlift from elevation AND assisted chin up
Weighted squat AND advanced press up variation AND barbell deadlift from floor AND chin up
12
Can you perform the following cardio activities?* This field is required.
I get out of breath easily doing daily activities
I can walk at a brisk pace on flat ground for 30 minutes
I can walk uphill continuously for 30 minutes
I can comfortably run/bike/swim/any cardio equipment at moderate intensity for 30 minutes
I can comfortably perform long duration endurance training and/or high intensity aerobic training
13
How many steps would you do most days?* This field is required.
Under 3,000 steps
3,000 - 5,000 steps
5,000 - 8,000 steps
8,000 - 10,000 steps
Over 10,000 steps
14
How much plain water do you usually drink each day?* This field is required.
Less than 500ml
500ml - 1 litre
1 - 2 litres
2 - 2.5 litres
Over 2.5 litres
15
How much alcohol would you drink on an average week?* This field is required.
Over 12 standard drinks
8-12 standard drinks
6-8 standard drinks
3-5 standard drinks
0-2 standard drinks
16
How high are your usual stress levels?* This field is required.
Extremely high
High
Medium
Low
Very low
17
How much sleep would you usually get?* This field is required.
Under five hours most nights
Five hours most nights
Six hours most nights
Seven hours most nights
Eight hours or more most nights
18
How would you rate the quality of those hours of sleep?* This field is required.
Terrible
Bad
Average
Good
Great
19
How would you rate your usual digestion?* This field is required.
Terrible
Bad
Average
Good
Great
20
How would you rate your usual levels of energy?* This field is required.
Extremely low
Low
Medium
High
Extremely high
21
Do you smoke?* This field is required.
15-30 cigarettes a day
1-15 cigarettes a day
Quit in last 6 months
Occasionally
Never
22
Name* This field is required.
First Name
Last Name
23
Email* This field is required.
example@example.com
24
Phone Number* This field is required.
Please enter a valid phone number.
25
Age* This field is required.
26
Gender and preferred pronouns* This field is required. e.g. he / she / they
27
Where did you hear about us?* This field is required.
28
Lifestyle Audit ResultRemember this number then click 'SUBMIT' below which will register your audit so you can find out your overall score level (from C to A+).
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