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Lifestyle questionnaire
I would love to know more about you and your fitness goals and lifestyle to understand better your needs.
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* Indicates required question
Email
*
Your email
Your full name
*
Your answer
Phone number
*
Your answer
What's your age?
*
18-25
25-35
35-45
45-55
55-65
Other:
Where did you hear about me?
*
Your answer
What is the biggest problem you would like to fix?
*
Your answer
How are you feeling about yourself at the moment? Why do you need help?
*
Your answer
What are your personal nutritional and fitness goals/aspirations?
*
Your answer
What have you tried before to fix the problem? How did it work for you?
*
Your answer
When do you want to have achieved your goals?
*
MM
/
DD
/
YYYY
What would be most important for you in the next 3-12 months?
*
I want to move better, build muscle strength, and lose weight
I want to lose fat only, I'm not bothered about gaining strength
I want to build, I'm not bothered about losing fat
How would you like to feel as a result of your transformation? What would it mean to you to achieve your goal?
*
Your answer
How ready, able and willing are you to put the effort in to get fitter, stronger and healthier?
*
I don't really want to change
1
2
3
4
5
6
7
8
9
10
I'll to do whatever it takes!
I am aware that I am responsible for my own health and fitness taking on any exercise programme.
*
Yes.
Required
Thank you for filling in the form!
In the meantime make sure you follow me @bodyshapingtraining on Facebook and Instagram.
Book a 121 consultion now at
https://www.bodyshapingtraining.com/booking-calendar/body-shaping-lifestyle-consultation
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