NUTRITION COACHING INQUIRY

Comprehensive Questionnaire With Fortius Personal Training

Based on the answers you provide, we will use our science-based approach to curate a personalized program that will help you reach your specific goals!

Whether your goal is to lose weight, gain muscle, reduce inflammation, improve performance, or eat a healthy and balanced diet, we are your one-stop solution!

Once you submit the questionnaire, our team will reach out to you within a few hours to book your free 20min consultation!

Name

First Name

Last Name

Mobile (With Country & Area code)

Gender

Date of Birth

YYYY

Weight (Kg)

Height (cm)

What is your Goal?

Describe your goals in a few words:

Working Hours:

How satisfied are you with your Job?

is your job stressful?

How much sunlight exposure do you get weekly?

Where do you live at the moment (Country & City)?

How much alcohol do you consume?

How much coffee do you consume daily?

Do you smoke? (If yes, note how many cigarettes daily)

Where are you most likely to store excess fat?

Sleeping hours (average):

Sleeping quality:

Provide a list of supplements you might be taking:

How many steps do you average in a day?

Do you train? (Describe your weekly activities - walking, running, classes, gym training)

Frequency of activities/training (times/week):

Chronic diseases (if any):

Allergies (if any):

Any food intolerance (lactose or gluten):

Diseases in the last six months (including COVID):

BMI (if taken recently):

Bowel movements:

Anxiety levels (if yes, describe causes and level):

Do you have any injuries at the moment or in the past?

Did you have any surgery in the past?

Do you have any medical conditions, if YES are you taking any medication?

Describe what you usually eat in each meal of the day!

Breakfast

Describe what you usually eat in each meal of the day!

Lunch

Describe what you usually eat in each meal of the day!

Snacks

Describe what you usually eat in each meal of the day!

Dinner

Additional Note (add anything important we might have missed):

How did you hear about us?

All information provided will remain fully confidential and is only intended to secure the best possible training options for your specific goals!

Important note - we will cover more questions in your FREE Zoom consultation and may separately request for any blood tests (if taken, in the previous six months)

We are excited to help you reach your Health & Fitness Goals!

#BeFortius