DREAM MUSCLE GYM
Do not fill in this field
How many times do you eat per day?
Do you eat fruits and vegetables?
Are you allergic to any foods?
How many times per week do you eat fast food?
List your fitness goals:
Do you smoke?
Do you drink alcohol?
How many hours of sleep do you regularly get at night?
Is anyone in your family overweight?
Have you had a recent surgery? If so, please explain?
How often do you partake in physical activity?
5-7 / week
3-4 / week
1-2 / week
List three areas of your nutrition you would like to improve?
Do you have any injuries that we need to be aware of? If so, please explain?
Do you have any health concerns, such as diabetes, asthma, heart condition, etc. ? If so, please explain?
On a scale of 1-10 how would you rate your stress level? (1-very low and 10-very high)
Do you take any medications, either prescriptions or non prescription, on a regular basis?
Is your job physically demanding? If so, please explain?
Do you drink coffee? If so, how often?
If you could get paid to work anywhere you wanted what would it be?
What is your favorite color?
Would you rather be inside or outside?
List three words that describe yourself?
What was your childhood dream?
What do you like most about yourself?
Are your friends and family supportive of you?
What do you like to do in your free time?
Is there anythings else I need to know about?
Please prove that you are not a robot