Questionnaire Please complete this questionnaire as the first part of your assessment and consultation… Please answer all questions as clearly as you can- and try not to paint too rosy a picture..! Your NameEmail Your attitude toward eating and drinkingDo you regularly skip breakfast? Yes No Do you drink plenty of water (8 to 10 glasses/day)? Yes No Do you regularly eat processed foods or takeaway food? Yes No Do you regularly drink alcohol and/or soft drinks? Yes No Your attitude towards exercise.Do you currently take any exercise? Yes No If you answered “yes” do you exercise regularly? Yes No How do you feel about your current physical condition? Pretty Good Not So Good Bad How do you feel about the way your body looks right now? Pretty Good Not So Good Bad Do you believe it is possible to make real improvements to your physical conditioning, body aesthetic and self-image by committing to a bespoke training and eating plan? Yes No Your attitude toward setting and achieving goals.Do you regularly set goals for yourself? Yes No If you answered “yes” can you work toward those goals in a clearly defined, time-framed manner? Yes No Your attitude toward commitment.How strong is your desire to improve your current physical condition and your body aesthetic? Pretty strong Comes and goes Not so bothered Can you see yourself embracing an initial 6-week bespoke training programme and committing to working hard and to seeing it through? Yes No Is there anything relevant (medical condition/family or professional commitments etc.) which may lessen your capacity to commit? Yes No This iframe contains the logic required to handle Ajax powered Gravity Forms.
