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NOW Village & INC: Know your path - Personalised nutrition evaluation
Complete the questions below to make the most of your free consultation.
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Name
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Your answer
Email
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Your answer
Age
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Your answer
Sex
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Female
Male
Prefer not to say
Weight (kg)
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Your answer
Height (cm)
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Your answer
Health goal (pick one)
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Weight loss
Build muscle
Athletic performance
Body recomposition
Improve health
Preferred eating style (pick one)
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I eat anything
Mediterranean
Paleo
Vegetarian
Ketogenic
Fully plant based
How many meals do you eat per day?
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5
Other:
On a scale of 1 to 10 (1 almost never, 10 almost always), how often do you plan your meals?
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On a scale of 1 to 10 (1 almost never, 10 almost always), how often do you have protein at each meal?
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On a scale of 1 to 10 (1 almost never, 10 almost always), how often do you have vegetables at each meal?
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On a scale of 1 to 10 (1 almost never, 10 almost always), how often do you have a regular eating schedule?
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10
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On a scale of 1 to 10 (1 speed of light, 10 slowly), how fast do you eat?
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On a scale of 1 to 10 (1 almost never, 10 almost always), how often do you eat highly processed foods?
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10
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On a scale of 1 to 10 (1 very little, 10 quite a lot), how much water do you drink during the day?
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10
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Do you have a consistent bedtime and waking time?
Yes
No
Other:
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Do you typically have trouble falling asleep?
Yes
No
Sometimes
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How much sleep on average do you get per night?
Less than 4h
4-6h
6-8h
More than 8h
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Do you wake feeling rested and energised?
Yes
No
Sometimes
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Do you eat (or drink) before bed?
Yes
No
Sometimes
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Do you have a sleep routine before bed?
Yes
No
Sometimes
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Activity level (pick one)
*
Very light (sitting most of the day)
Light (a mix of sitting, standing, and light activity)
Moderate (continuous gentle, moderate activity)
Heavy (strenuous activity throughout the day)
Weekly workouts (pick one)
*
Very light (almost no purposeful exercise)
Light (1-3 hours of gentle to moderate exercise)
Moderate (3-4 hours of moderate exercise)
Intense (4-6 hours of moderate to strenuous exercise)
Very intense (7+ hours of strenuous exercise)
What do you think is the #1 thing preventing you from reaching your health, fitness, and performance goals?
Your answer
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