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Health Quiz

Do you consider yourself a motivated person?
Yes
No
How much weight would you like to lose?
0-10 pounds
10-20 pounds
20-30 pounds
Greater than 20 pounds
I want to maintain my current weight
How much do you currently exercise?
Not at all
1-2 days per week
3-4 days per week
Greater then 5 days per week
What kind of exercise are you doing?
Cardio
Weights
Cross-training
Group Fitness Classes
Where do you struggle most nutritionally
I know what I should it eat but struggle doing it in real life
I struggle with snacking
I struggle with emotional/stress eating
I struggle with portion sizes
I do fine during the day and then overeat at night
Do you currently think you eat enough fruits and vegetables?
Yes
No
Do you currently follow any of the following eating styles:
Paleo
Keto
Intermittent Fasting
Vegetarian
Vegan
Other
Do you feel you have enough energy during the day?
Yes
No
How much sleep do you average at night?
<5 hours
5-6 hours
7-9 hours
>9 hours
Do you struggle with any of the following gut issues: bloating, gas, irritability, constipation?
Yes
No
Do you struggle with joint injury or issues such as popping, creaking or pain?
Yes
No
If asked to workout 30 minutes a day, how many days a week could you do this?
4
5
6-7
My schedule changes week to week
What is your email address (so I can send you results :)
Do you struggle with any of the following?
Lack Of Self Confidence
Body Image Issues
Feeling Supported
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