Passion for Fitness
By Sushant Kumar
Name *
Email *
Contact Number *
City *
Gender *
Age *
Facebook/LinkedIn/twitter profile *
Fitness Goals *
Is your Sleep Restful? *
Are you diabetic or have a family history of diabetes? *
Current Weight *
Required
What is your height? *
Do you get cravings for certain type of foods? *
How is your energy day to day? *
Do you have any food allergies? If so, then specify. *
How is your mood on a typical day? *
Which activities are more comfortable for you? *
What food longings are most common? *
What is your current lifestyle like? *
Do you Experience Stomach Discomfort? *
What is your typical lunch? *
What describes your typical day? *
Are you at risk of any of the following? *
What best describes the area you live in? *
How frequently you eat out? *
Which cooking oil do you use?
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Do you experience any body pains? *
Required
Have you been on any medications lately? *
Do you have a family history of any of the following? *
Required
Do you drive? *
How much do you walk or do any physical exercise? *
At what frequent postures/movements/exercises do you feel a pain? *
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