BodySculptor Online Training
Please answer all the questions as accurately as possible, this will help us create a plan effective specifically for you.
Email address *
Your Name *
Your answer
Date Of Birth *
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Mobile Phone Number *
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Gender *
Your Body Goal *
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Your Height *
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Your Weight *
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Are you taking any medication or drugs? If so, please list medication, dose and reason
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Does your Physician know you are participating in the exercise program? *
Describe any physical activity you do somewhat regularly? *
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Diet Preference *
Supplement History (Dosage & brands) if any
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Any diets followed in the past?
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Any Hunger Pangs?
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Do you get any food cravings or mood effects from food, if so please explain briefly
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What's your water consumption like on a typical day?
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What is your Oil Consumption like?
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Do you drink alcohol? *
Do you smoke? *
Any Food Allergies? *
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Any main meals skipped? If so please explain briefly
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Any signs or symptons from the following, check all that apply if any
Current Medications (If any)
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Foods liked
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Foods disliked
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Do you now, or have you had any of the following in the past? (Tick only those that apply)
Any final comments for us, please leave here
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Thank you for filling in this information, we will be in touch within 3 working days with your customised plan.
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