Request edit access
FemSync Comprehensive Fitness & Lifestyle Assessment Form

Welcome to the FemSync Lifestyle Optimization Form (For Chosen 5 Only)

Dear Participant,

Congratulations on being selected as one of the Chosen 5 for our exclusive 90-day Lifestyle Optimization Program. This form has been specially designed to understand your unique health, fitness, and lifestyle profile so that we can create a truly personalized and data-driven plan just for you.

This form contains 27 carefully designed questions.
We request you to go through each question mindfully and take your time to answer. Your honest and accurate responses will help us build a preventive and proactive strategy tailored for your needs.

By completing this form:

- You’ll receive a personalized lifestyle roadmap focusing on fitness, recovery, and overall well-being.
- You’ll gain insights that you can apply for a lifetime, helping not only yourself but also guiding your loved ones or younger ones with the right health basics.

We are here to support you at every step of this transformation journey.
Your dedication to filling out this form carefully is the first step toward building a better version of yourself.

Thank you, and we wish you all the best!
– Team FemSync

Email *
Have you ever measured your resting heart rate or blood pressure?
Clear selection
If Yes (please share your average values if you know)
Do you experience frequent episodes of low blood pressure (dizziness, fatigue, fainting)?
Clear selection
If Yes (please describe)
Do you have any diagnosed conditions or symptoms that could impact training?
Clear selection
Have you had any recent medical check-ups or blood tests?
share relevant details, if comfortable

Do you currently use any wearable device or fitness gadget to track your health?

Clear selection

How would you rate your daily energy levels?

Clear selection
How many hours of quality sleep do you get per night?
Clear selection
Do you wake up feeling refreshed and ready to start the day?
Clear selection

Do you often feel muscle soreness, stiffness, or fatigue that affects your day?

Clear selection
If Yes (please specify where/when)
What is your current strategy for recovery?
Clear selection
How often do you engage in structured exercise (strength, cardio, yoga, etc.)?
Clear selection

How long can you comfortably walk, jog, or do light cardio without feeling tired?

Clear selection
Which of these can you comfortably do right now?
Clear selection
How flexible do you consider yourself?
Clear selection
Have you ever trained with HIIT, strength circuits, or VO₂ max-focused workouts?
Clear selection
Do you experience stiffness in your hips, shoulders, or back?
Clear selection
Yes (please specify)
How comfortable are you with basic mobility movements (e.g., lunges, rotations, stretches)?
Clear selection
On average, how many hours per day do you spend sitting (work, study, etc.)?
Clear selection
How active are you outside of workouts?
Clear selection

Do you face challenges that keep you from exercising consistently?

Clear selection
Do you have any food intolerances or dietary restrictions?
Clear selection
If Yes please specify food intolerances or dietary restrictions:
How often do you hydrate (water, electrolytes)?
Clear selection
Do you currently take any supplements?
(Protein, vitamins, magnesium, etc.)
Clear selection
Yes (please list the supplements)
What are your top 3 fitness or health goals for the next 90 days?

(Examples: build stamina, improve posture, lose fat, tone muscles, feel more energetic)
Are you open to tracking your heart rate, steps, or sleep with basic devices?
Clear selection
Have you ever done a fitness assessment (like a VO₂ max or endurance test)?
Clear selection

Please measure and share the following (in cm or inches):

Waist circumference:

Hip circumference:

Thigh circumference (mid-thigh):

Arm circumference (mid-bicep):

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms