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Assessment
HELP US MATCH YOU WITH A SUITABLE TRAINERΒ FOR YOUR ASSESSMENTΒ
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Name
*
Email
Phone Number
*
Age
*
Height (cms)
*
Weight
Kg
LBS
Please indicate your physical activity
*
Little or no Exercise/ desk job
Light exercise/ Sports 1 - 3 days/ week
Moderate Exercise, Sports 3 - 5 days/ week
Heavy Exercise/ Sports 6 - 7 days/ week
How many hours do you sleep per day?
*
<4 hours
4-6 hours
6-8 hours
>8 hours
How many meals do you eat per day?
*
<2
2-4
>4
Please indicate your daily work load
*
Light
Moderate
Heavy
Choose your body type
*
Ectomorph (I)
Endomorph (O)
Mesomorph (V)
What is your current fitness goal?
Fat Loss
Muscle Gain
Body Recomposition
Maintain
Improve performance
Exercise Therapy
Do you drink alcohol?
*
Yes
No
Do you smoke?
*
Yes
No
Do you suffer from the following:
*
Asthma
Joint infections
Diabetes type I
Diabetes type II
High blood pressure
Low blood pressure
Heart disease
None of the Above
Are you pregnant? (females only)
*
Yes
No
Do you have any injury? If yes please specify
Submit
