Hey there! This short survey is designed to collect some data which will help me enhance and optimise my online lifestyle and fitness coaching service! I'm very grateful for all of your responses - they will be incredibly useful as I grow my business and learn how I can improve to help more people change their lives through health & fitness.
All answers will remain completely confidential and I will not share any of your personal information with third parties. By completing this survey, you are consenting to be added to my Mailing List and to be contacted around offers and promotions relevant to this survey.
First Name
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Last Name
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Email
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Phone
Instagram Handle
Tell me a bit about your current exercise routine...
What is your daily activity level?
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Select option from the drop down menu
No exercise at all
Moderate (desk job, exercise 1-2 times per week)
Active (e.g. retail work, exercise 3-4 times per week)
Very Active (e.g. manual labour, exercise 5-6 times per week)
Athlete (intense exercise everyday)
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Do you exercise for a specific goal?
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What (if anything) is stopping you from achieving this goal?
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Would you benefit from guidance with your exercise/training routine?
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Select option from the drop down menu
YES
NO
MAYBE
UNSURE
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Tell me a bit about your current nutrition...
Which statement best describes your eating habits?
Please select option from the drop down menu
I eat what I want, when I want (intuitive)
I am somewhat conscious/ controlled with my diet
I am very careful and restrictive of what I eat
I eat "well" during the week but struggle on weekends
Other
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Would you benefit from guidance with your daily food intake and eating habits?
Please select option from the drop down menu
YES
NO
MAYBE
UNSURE
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If YES, what type of food/diet support would be most helpful?
Tell me a bit about your current lifestyle...
Do you feel you have enough energy?
Please select option from the drop down menu
Yes
No
Sometimes
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Do you have a highly stressed job?
Please select option from the drop down menu
Yes
No
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How often do you drink alcohol?
Never
Once a week
1-3 days a week
3-5 days a week
6 or more days a week
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How often do you eat takeaways or eat out?
Never
Once a week
1 - 3 days a week
3-5 days a week
6 or more days a week
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Do you feel that putting effort into nutrition and exercise will benefit you in the future?
Please select option from the drop down menu
Yes
No
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