Metabolic Assessment

Metabolic Assessment Form

Hey!

Thanks for filling out the form. We'll provide you with a metabolic score that reveals the fastest way to get results and optimise your metabolism.

First name

Last name

Email

Phone

Age

Weight

Height

What’s your primary fitness goal right now?

Are there any specific obstacles or challenges you're facing with achieving these goals?

How many meals do you usually eat each day?

How often do you eat out at Restaurants on average every month?

On a scale of 1 to 10, how would you rate the quality of your current diet? (1 = poor and 10 = excellent).

How many calories do you aim for daily?

How would you rate your protein intake on a scale of 1-10? (1 = hardly eating any, 10 = eating at least 1g per lb of bodyweight daily/2.2g per kg of bw)

How is your digestion overall? How often are your bowel movements? Do You experience bloating or discomfort on a regular basis?

Have you followed any specific diets in the past 3-5 years? If yes, please list them

How much caffeine do you usually consume in a day? (e.g., cups of coffee, tea, energy drinks, etc.

How would you describe your current activity level? ( 1 = sedentary, 10 = very active)

Are you following a workout plan? If yes, please describe it briefly (e.g., strength training, cardio, yoga)

On average, how many hours of sleep do you get per night?

How would you rate the quality of your sleep on a scale of 1-10? (1 = poor, 10 = excellent)

How would you rate your Energy Levels out of 10? (1 = exhausted, 10 = very high energy).

How would you rate your current stress levels on a scale of 1 to 10? (1 = extremely stressed, 10 = very relaxed and calm)

How do you cope with stress in your life?

Any other health-related issues I need to know about? Allergies, diet preferences, injuries, hormonal imbalances... etc.

Have you ever considered working with me as your 1:1 coach?

Yes, I’ve been waiting for you to ask!

Let’s do this! I’m ready to be your star student!

Only if you promise to go easy on the burpees.

I was born ready. Let’s do this!

Does this mean I have to start saying no to donuts?