Dad Bod Health 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 much time do you have left to spend on exercise each day? *
On a scale of 1-10, with 10 being the most ready, how keen are you to make this transformation? *
I'm thinking about it
I WANT this!
What are your motivations behind making this transformation? *
Your answer
Is your spouse or S.O. supportive of this transformation? *
Has your doctor mentioned if you have any health risks? *
If you answered yes to the question above, what conditions may limit your ability to perform certain exercises?
Place N/A if not applicable
Your answer
Are you currently on any medication? *
If you answered yes to the question above, please list down your medication.
Place N/A if not applicable
Your answer
Do you have any food allergies or restrictions? *
If you answered yes to the question above, what are those restrictions?
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, what were the results? *
Your answer
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