Date of Birth*

Waist Circumference (cm)*

Hip Circumference (cm)*

Thigh Circumference (cm)*

Height (cm)*

Weight (kg)*

Weigh yourself in the morning, on an empty stomach and without clothes

What is your typical activity level throughout the day?*

What would you like to gain from the programme?*

Have you ever tried any kind of diet?*

Do you have any food allergies/intolerances?*

Are you vegan/vegetarian?*

Are there any particular foods/products that you would like to avoid at all costs?*

What are your five favourite ingredients?

How many meals do you currently eat per day?*

What do you eat during a typical day?

Do you currently perform any exercise? If so, what kind of exercise and how often?*

What is your exercise experience level?*

Do you have any injuries, disabilities or other factors that might affect your ability to perform weight training?*