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Nutrition Plan
Personal Training
Weight Loss
Nutrition Plan Sign up
Health and Wellness Goals
Weight loss
Muscle gain
Improved energy levels
Better digestion
All of the above
How would you rate your current eating habits on a scale of 1-5?
1
2
3
4
5
How often do you exercise in a week?
30 mins
60+ mins
90+ mins
150+ mins
Dietary Preferences and Allergies
What do you think your ideal body weight is and/or how important is that number to you?
Are there any foods you absolutely dislike or refuse to eat?
Do you follow any specific dietary preferences?
Additional Information
First name
Last name
Email
Phone
I agree with
Privacy Policy
Sign Up
Personal Training Sign up
What are your primary fitness goals?
Weight Loss
Muscle Gain
Improved Cardiovascular Health
Flexibility & Balance
Overall Wellness
On a scale from 1-5, how motivated are you to achieve these goals?
1
2
3
4
5
Have you been exercising regularly in the past 6 months?
Yes
No
If yes, what type of exercises and how often?
Do you have any medical conditions or injuries we should be aware of?
Yes
No
If yes, please specify
Occupation
How many hours do you work per week?
How would you rate your current stress level from 1 to 5?
5
4
3
2
1
Preferred days for training
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time for training
Morning (8AM - 12AM)
Afternoon (12PM - 4PM)
Evenings (4PM - 8PM)
Additional Information
First name
Last name
Email
Phone
I agree with
Privacy Policy
Sign Up
Weight Loss Program Sign up
Nutrition Plan
Do you have any dietary restrictions?
Yes
No
If yes, please specify
Nutrition Plan
How would you describe your eating habits?
Balanced
Vegetarian
Vegan
Low-carb
High protein
How many meals do you eat in a day?
Nutrition Plan
Do you prefer home-cooked meals or eating out?
Home-cooked meals
Eating out
Nutrition Plan
Are you comfortable with meal prepping?
Yes
No
Nutrition Plan
Are there any specific foods that you dislike or are allergic to?
Yes
No
If yes, please specify
Nutrition Plan
Do you take any dietary supplements?
Yes
No
If yes, please specify
Fitness Plan
What is your primary fitness goal?
Weight loss
Muscle gain
Flexibility & balance
Improved cardiovascular health
Overall wellness
How many days a week can you dedicate to exercising?
Fitness Plan
What time of the day do you prefer to exercise?
Morning
Afternoon
Evening
Night
Health and fitness information
Height in (feet)
Weight in (LBS)
First Name
Last Name
Phone
Email
I Agree
I agree with
Privacy Policy
Sign Up