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PHYSICAL FITNESS AND NUTRITION READINESS QUESTIONNAIRE
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Name
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First
Last
Email
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If you could take a few minutes to fill out the following questions we will be have a better sense of where you are at with your fitness and nutrition which will help us recommend the level of physical activity that suits you along with how we can guide you with nutrition.
What types of workouts are you currently doing?
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How often are you working out and for what duration?
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Do you enjoy the workouts that you are currently doing?
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Do you dislike any types of workouts? And why?
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Are you working out as much as you would like? If not, what holds you back?
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Time
Motivation
Energy
Commitment
Haven't found something you like
Access to workout equipment
Other*
Other*
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Have you tried any Beachbody programs before? If so which ones and tell me about your experience?
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How would you rate your current diet and nutrition? 1=Fast Foodaholic to 10=All Organic Food and tons of fresh fruits and veggies
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1 = Fast Foodaholic
2
3
4
5 = Decent but still eat some processed and fast food
6
7
8
9
10 = All organic and tons of fruits and veggies
Do you eat regular meals/snacks or do you struggle to find time to eat?
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What are 2-3 goals that you have in what you would want to accomplish by starting a new fitness program or healthy lifestyle?
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Weight Loss
Increased Strength
Improve Cardiovascular Performance
Better Flexibility
More Energy
Increased Lean Muscle
Improved Sports Performance
Other*
Other*
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Out of all your goals, if you had to pick ONE that is most important, what would it be?
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