Fitness One-on-One

Bodycraft Questionnaire

Purchased Meal Plan Transaction ID:
*** You receive a transaction ID in your e-mail when you purchase our meal plan through our website.
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Name:

Height: ft in

Weight: lbs

Date of Birth:

GOALS

Please Check One
Lose Weight. Lose fat
Maintain weight. Lose fat
Gain Weight. Build Muscle

TRAINING EXPERIENCE

Please check one
Sedentary-little or no vigorous activity
Beginner- Moderate physical activity (1-3 times a week)
Intermediate - 2 - 4 months of consistent weight lifting
Advanced - 6 months to 1 year of weight lifting

PERSONAL PROFILE

Fill in the boxes below with numbers. Each category must equal 24 hours a day.

Activity Levels

  M Tu W Th F Sa Su
sleep
relax
Lite work
Med work
Hvy work

 

Workout days / Weight Lifting

M Tu W Th F Sa Su
Light
Medium
Heavy

What else are you doing?

Aerobics

Sports

Bicycling

Walk / Jog

How Many Days a Week?

How Long Each Day?

Which Days?

 

 


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