QUESTIONNAIRE – THE DEVOTION THE DEVOTION QUESTIONNAIRE Spam protection, skip this field Name Gender Male Female Your Age Email Address Height Current Weight Location Your Fitness Level Just Started Beginner Intermediate Advanced How long have you been exercising for? What is your ultimate goal for implementing a fitness program with me? What type of fitness training are you doing now or have you done in the past? Do you have any injury or have had injuries in the past? Do you have access to a gym? : Yes No Where would you prefer to train If you're working out from your home or home gym, please give me a list of all the equipment you have access to How many times/week are you prepared to train? Are you presently taking any form of medication? A) Do you suffer severe back pains or other orthopedic problems? B) If you are breastfeeding, please specify. Please Select an Option below which describes you the best Vegan (No animal based products) Lacto Vegetarian (Only milk products allowed) Lacto Ovo Vegetarian (Milk & Egg products allowed but no meat) Non-Vegetarian Have you ever been on diet? If so, please describe briefly. How many times a day do you like to eat? 1-2 3-4 5-6 Do you have the habit of drinking tea/coffee during the day? Yes No Do your emotions affect the way you eat? If yes, please specify What are Your Current Eating Habits? Do you have any specific food requirements? On average, how many times do you eat fast food in week? During times of stress, I tend to eat Are there any foods you dislike? List your two most favorite foods Are you open to trying new methods, even if they part from what's conventional and may initially conflict with current habits you may have? Yes No What you would like to achieve from our time working together? Do you have medical clearance from a doctor to participate in an Exercise program? (I strongly recommend obtaining a medical clearance from a doctor or appropriate health professional prior to beginning my programs.) How did you hear about TrainWithNair? Since how long have you been following us on Instagram?