HodaFit Form

1

What is your Full Name?* This field is required.

First Name

Last Name

2

How old are you?* This field is required.

3

What is your marital status?* This field is required.

Single

Married

Living with partner

Separated

4

Do you have any children? If yes, how many?* This field is required.

5

What is your gender?* This field is required.

Male

Female

Non-Binary

Prefer not tro say

6

What is your country of residence?* This field is required.

7

What is your timezone?* This field is required.

8

What is your email address?* This field is required.

example@example.com

9

What is your phone number?* This field is required.

Please enter a valid phone number.

10

What is your occupation?* This field is required.Can you describe your work schedule? How many hours do you work each week? Do you have a regular or shift work schedule?

11

What is your height?* This field is required.

12

What is your weight?* This field is required.

13

Do you know your body mass index (bmi)? if yes, what is it?* This field is required.

14

Are there any medical conditions we should be aware of?* This field is required.Please mention if your answer is yes

15

Are you currently taking any medications? If yes, please list them below.* This field is required.Please mention if your answer is yes

16

Can you describe your typical daily diet?(what you eat)* This field is required.

17

Do you smoke? if yes, how often?* This field is required.

YESNO

18

How often do you consume alcohol?* This field is required.

Never

Rarely (less than once a month)

Occasionally (1-3 times a month)

Regularly (1-2 times a week)

Frequently (3-4 times a week)

Daily

19

How many hours of sleep do you get each night?* This field is required.

20

On a scale of 1 to 10, how would you rate your stress level?* This field is required.

21

What is your current fitness level?* This field is required.

Beginner: New to regular exercise or getting back into fitness after a long break.

Intermediate: Regularly active, familiar with basic exercises and fitness routines.

Advanced: Very active, engages in intense workouts regularly, and has a high level of fitness.

Athlete: Engages in specialized, rigorous training for competitive sports or athletic events.

22

What are your fitness goals?* This field is required.

23

Do you have access to exercise equipment?* This field is required.

YESNO

24

Do you have any physical limitations or injuries?* This field is required.If yes, what is it?

25

How many days per week are you willing to exercise?* This field is required.

26

What is your preferred time of day for workouts?* This field is required.

Less than 20 minutes

20-30 minutes

30-45 minutes

45-60 minutes

1-1.5 hours

More than 1.5 hours

27

What motivates you to stay fit and healthy?* This field is required.

28

Do you have any specific requests or comments?

29

Signature* This field is required.

30

Would you like to upload your image?