FitAndFree
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Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How would you describe your current level of physical activity?
Sedentary
Lightly Active (1-3 days a week)
Moderately Active (3-5 days a week)
Very Active (6-7 days a week)
Professional Athlete
What are your primary goals for joining our program? (Select all that apply)
Weight Loss
Muscle Gain
Improve Athletic Performance
Increase Physical Activity
Other
How would you describe any of your special diet considerations?
Vegetarian
Vegan
Pescatarian
Keto
Other
Do you have any food allergies or dietary reductions? If yes, please specify.
How comfortable are you with the concept of macronutrients (proteins, fats, carbohydrates)?
Very Comfortable
Somewhat Comfortable
Not Comfortable
I don’t not familiar with macronutrients
Do you currently count calories or macronutrients?
Yes, regularly
Sometimes
Rarely
Never
How often do you cook meals at home?
Daily
A few times a week
Rarley
Never
Are there specific dietary preferences or philosophies you follow or are interested in?
What does your current workout routine look like? (Select all that apply)
Weightlifting
Cardiovascular exercises (e.g., running, cycling)
HIIT (High-Intensity Interval Training)
I do not have a workout routine
Yoga/Pilates
Other
What are your biggest challenges or obstacles in maintaining a regular workout routine, if any?
How much time are you willing to dedicate to exercise per day?
Less than 30 minutes
30 minutes to 45 minutes
1 hour
More than 1 hour
What type of support are you looking for in a meal and workout plan? (Select all that apply)
Detailed meal plans
Workout Programming
Information about nutrition
Accountability and tracking
Other
On a scale of 1-10, how motivated are you to achieve your fitness and nutrition goals?
Is there anything specific you hope to achieve or address with our meal and workout plans?
Would you prefer your meal and workout plans to be more:
Structured and detailed
Flexible and adaptable
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