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FitWhit Questionaire
First Name
Last Name
Email
Phone
Address
Birthday
Occupation
Age
Height
Current Weight
Goal Weight
Daily Activity (not including exercise, not including workouts)
Sedentary (Desk Job)
Moderate (on feet a lot)
Active (construction worker)
How many days a week do you workout?
How many minutes a day do you workout?
Do you workout at home, a gym, or with a trainer?
Which category would you describe yourself on a workout day?
-light activity (100-300 calories burned)
-moderate activity (300-500 calories burned)
-very active (500+ calories burned)
What is your current diet like?
Have you counted macros before? If so, when and what are/were your macros?
Any history of eating disorder? (Completely confidential, but pertinent information) Any medical limitations, including food allergies?
What are your goals? Anything else I should know or that you would like to share.
Which describes you?
I gain and lose weight easily.
I gain weight easily.
I struggle to gain weight.
I struggle to lose weight.
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