.

The beginning of the journey

Securizat
Survio
Creați un chestionar
Let me know you a little bit better
1

Name

2

Age

3

Height

4

Weight

5

Job

6

Country and city

7

Do you do any kind of sport / physical activity?

Describe
8

What is your goal?

Losing weight, gaining muscle, body recomposition, etc.
9

What do you think you need to improve?

Diet, workout, technique, etc.
10

How would you rate your general feeling?

Physically and in terms of health
Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio
Let me know you a little bit better
11

Bedtime

Estimated
12

Wake up time

Estimated
13

Do you take any supplements for sleep quality?

14

How would you rate your sleep?

Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio
Let me know you a little bit better
15

What type of lifestyle are you following?

16

Do you have any food intolerances?

Dairy, gluten, etc.
17

What do you eat right now?

Describe what you have been eating lately
18

What type of approach would you like?

19

Types of food you dislike

Vegetables, fruits, dairy, grains, etc.
20

Types of food you like

Vegetables, fruits, dairy, grains, etc.
21

What are the dishes you love?

Cooked food - pasta, risotto, rice & veggies, etc.
22

What is the junk / unhealthy food you like the most?

McDonalds, Burger King, Fastfood, etc.
23

Combinations of food you DON'T like

Ex. Pasta with cheese, eggs with barbecue, etc.
24

Do you like more

25

What is your budget for food per week?

The more money you are willing to spend on food, the more diverse and tasty it will be
26

How do you feel about weighing your food?

Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio
Let me know you a little bit better
27

Do you have the possibility / are you willing to cook?

28

How much time are you willing / able to cook?

29

Do you own the following?

Alegeți un răspuns pe fiecare rând
30

How many meals are you willing to eat?

Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio
Let me know you a little bit better
31

Do you have a regular menstrual cycle?

32

When are you supposed to have it?

Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio
Let me know you a little bit better
33

Do you have any health problems?

Name them
34

Do you take any medication?

Describe
35

Do you take any supplements at all?

Vitamins, protein powder, etc.
36

Any movement problems / past injuries?

Describe
37

Are you willing to go to the gym?

If the answer is no, skip the questions related to this topic
38

When would you be available to go to the gym?

Estimate the time of the day
39

How much time would you be available to spend in gym?

40

Exercises you don't like / can't perform at all?

41

How would you asses yourself in terms of experience in the gym?

Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio
Let me know you a little bit better
42

Email address & phone number to be contacted

43

May I post your progress photos on social media?

44

I agree to the processing of personal data.

Alegeți un răspuns
45

Is there something else you want to share with me?

Something that might help me customize your program even better such as: caloric intake, special work / school schedule, etc.
Este ușor să creați un chestionar gratuit ✓ Cu sprijinul Survio