Questionnaire

Health and Fitness Form

Welcome to my Health and Fitness Form! Your responses will help me get to know you better so that I can create personalized meal plans and workout routines just for you. By sharing details like your gender, age, height, weight, and body fat percentage, along with any specific questions or concerns you have, I can tailor my advice to fit your unique needs and goals. I’m excited to work with you on your health and fitness journey and provide the support you need to succeed! (Note: For contact question discord would be best, however you can ask for my business # as well in that box for one on one calls if you don't have discord.)

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* 1. Name

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* 2. What is you gender?

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* 3. What is your age?

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* 4. What is your height? (in feet or cm)

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* 5. What is your weight? (in lbs)

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* 6. Do you have a desk job or an active job?

Desk job

Active job (on your feet for most of the shift)

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* 7. How often do you engage in physical activity?

Never

1-3 times a week

4-5 times a week

6+ times a week

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* 8. How is your intense is your physical activity?

I can have a conversation.

Its hard to, but I can still have a conversation.

I'm to focused on breathing to have a converstaion.

Questionnaire

Health and Fitness Form

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* 1. Name

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* 2. What is you gender?

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* 3. What is your age?

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* 4. What is your height? (in feet or cm)

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* 5. What is your weight? (in lbs)

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* 6. Do you have a desk job or an active job?

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* 7. How often do you engage in physical activity?

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* 8. How is your intense is your physical activity?

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* 9. Enter Contact Info! Discord, Email, etc

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* 10. Finally please let me know of any comments or concerns you have, as well as any food allergies.