Free LifeStyle Assessment

Hello there! Are you ready to learn about your body and how to become healthy as a Hero? My Lifestyle Assessment can help you do that! All you need to do is answer some easy questions, and then I'll provide some tips to help you move in the right direction on your heroic journey!!

First Name

Last Name

Phone *

Email *

Age *

What is your biological sex? *

Height *

Weight *

Goal Weight *

What is your occupation? *

What is your health, fitness, and nutrition goals? Please be specific.

Timeline for when you want to accomplish the goals listed above?

How many days a week do you exercise?

1 day or less

2-3 days

4-5 days

6 days or more

Typically, how long are your exercise sessions? *

less than 30 minutes

30-45 minutes

45-60 minutes

more than 60 minutes

Outside of formal exercise time, how ofte do you do other types of physical activity (i.e. walking, hiking, playing a sport)? *

Daily

Weekly

Monthly

Never

How many meals do you eat per day? *

1

2-3

4-5

6 or more

How many snacks do you typically eat per day? *

1

2-3

4-5

6 or more

How much water do you drink per day? *

Do you drink alcohol? *

Does anyone in your immediate family have chronic health problems like diabetes or high cholesterol? *

What does your current workout programing look like? How many days per week of exercise, what type fo exercise are you doing, etc. (Be as detailed as possible.) *

Do you currently use an app to track workouts and/or nutrition? *

How often do you eat food that has protein in it? *

Do you drink caffeine or other things that make you more alert? *

Rate your hunger levels on a scale to 1-5. 1=Little to no hunger - 5=Hungry all the time *

How would you say your stress levels are day to day? Scale 1-5: 1=Little to no stress - 5=Stressed to the Max *

How much energy do you have on a daily basis? Scale of 1-5: 1=exhausted - 5=Energized *

Are you tracking calories or macros right now? If so, how many calories and macros are you eating per day? *

If you've been tracking, how long have you been consistent at those numbers? *

What diets have you tried in the past 6 months? *

If you've tried diets in the past 6 months, what did you do after the diets? *

Tell me a little bit about yourself. (Your story, family, work, hobbies, etc.) *

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