Weight Management Consult Par Q
The answers provided via this form will help me to gain a better understanding of your needs, strengths, weaknesses, and interests. Each answer helps me to build the steps needed for you, personally, not a one size fits all program. Thank you for taking it seriously and answering honestly so that I can better help you reach your goals by providing direction and the tools needed for your success. ***Always consult your physician before starting any lifestyle changes.
Birth date: can be just the year
Limitations/injuries/diagnosis that impact your ability to workout
What is your current fitness level?
Just starting - no idea what to do
I workout occasionally
I workout 2-4 times per week
I workout 5-7 times per week
Are you training for something specific?
What are your favorite formats?
Are you currently a member of a gym?
What are your top fitness goals?
lean muscle development/increase strength
range of motion/flexibility
What are your top nutrition goals?
How many times per week do you eat out?
What keeps you from working out consistently?
Not applicable - I follow a weekly plan
No idea what to do
Do you work outside the home?
What do you have for a typical breakfast?
What do you have for a typical lunch?
What do you have for a typical dinner?
What are your go to snacks?
How much sleep do you get per night?
5 hours or less
Are you nervous about making a change to your lifestyle?
I am READY
Is there anything that you would like to share with me to help me better understand YOU and your needs/wants?
Send me a copy of my responses.
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