Dad Bod Health Private Coaching Questionnaire
Full Name *
Your answer
Age *
Your answer
Best email to reach you? *
Your answer
What is your occupation? *
Your answer
What are your work hours? *
Your answer
How many days per week realistically are you able to work? *
On a scale of 1-10, with 10 being the most ready, how ready are you to make this transformation? *
I'm thinking about it
I WANT this!
What is your major motivation behind wanting to get healthy and make this transformation? *
Your answer
Is your spouse or significant other supportive of this transformation? *
Has your doctor mentioned if you have any specific conditions or health risks? *
If you answered yes to the question above, what conditions may limit your ability to perform certain exercises or work out on a regular basis?
Place N/A if not applicable
Your answer
Are you currently on any medications? *
If you answered yes to the question above, please list your medications below.
Place N/A if not applicable
Your answer
Do you have any food allergies or food restrictions? *
If you answered yes to the question above, please list those below?
Place N/A if not applicable
Your answer
Have you ever invested in your health in order to help you reach your goals? *
If so, please describe the program and your overall results? *
Your answer
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