14 Day Online Bootcamp
Name *
Surname *
Email Address *
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Your goal with this 14 Day Online Bootcamp
Tick all that apply to you:
How would you describe your sleep?
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Are you generally stressed?
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On a scale of 1 to 10 how stressed? 1 being No stress at all and 10 being always on edge with plenty of sleepless nights
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Do you have a regular menstruation cycle?
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Age
Height in cm
Weight in kg
Level of activity throughout the Week
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What do you want to achieve out of this? *
Any medical issues or history of health problems? *
Are you on any medication? If so, what? *
Do you have a any allergies?
How about Food Intolerances?
How often are you sick per year?
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Have you ever dieted in the past?
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If yes, where you successful?
If Not, briefly explain why this was not a success
Are you currently on any specific diet?
Do you have any dietary restrictions? If so what? *
Have you recently suffered any injuries, If so please explain
How much water do you drink daily?
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