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Health and Fitness Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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IIlas Ahmadi
1
What is your height?
Please specify your height in either Centimetres or Inches.
2
How old are you?
Please provide your age using digits only.
3
How much do you weigh in KG?
Please provide your weight in Kilograms using digits only.
4
What is your BMI?
Leave blank if unknown.
5
What kind of sports do you participate in?
List the sports you participate in (e.g., football, gym).
6
What would you like to achieve?
Select your main goal: Weight gain, weight loss, muscle gain, fat gain, or fat loss.
Weight gain
Weight loss
Muscle gain
Fat gain
Fat loss
7
Do you have any dietary restrictions?
Describe any dietary restrictions you have, if any.
8
What are your dietary habits?
Provide information on your eating habits such as meal times.
9
How many times a week do you exercise?
Please specify the average number of times per week you engage in physical activity.
10
On a scale of 1 to 10, how motivated are you to reach your fitness goals?
Rate your motivation level from 1 to 10 (1 being lowest, 10 being highest).
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