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FitCru Fill Assesment Form
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Account Name
Name
*
First
Last
Email
*
Whatsapp no
*
Instagram Handle
Gender
*
Male
Female
How old are you? (D.O.B)?
*
MM slash DD slash YYYY
Please complete the following sentence:
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When it comes to health and fitness I would really love to _____
Now finish this one:
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And this is really important to be because ____
What is your height (in cms)
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What is your waist? (It should be measured around the naval in inches)
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What is your current weight (in kgs)
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What is your ideal body weight (in kgs)
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Do you have any of the following health issues?
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High blood pressure
Diabetes
Hypothyroidism
PCOS
None
Other
Tell us more
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How active are you physically?
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Very sedentary, barely move
Sit mostly, but I do walk around
I am on the go
How fast do you want to reach your goal weight?
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Normal pace (not too intense)
A little quicker (ideal for most people)
Super quick (for people with tremendous will power)
What are your dietary preferences?
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Vegetarian
Non Vegetarian
Vegan
Egg
Jain
None
What are your dietary allergies/dislikes etc? Things you do not want as a part of your diet.
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Lactose
Gluten
Fruits
Sea Food
Pork
Red Meat
Peanuts
Tree Nuts
None
Other
Please list all foods separated by a space
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Please select your typical meals per day
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2 Meals
3 Meals
4 Meals
5 Meals
Select the time closest to your first meal of the day
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5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
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9:30 AM
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11:00 PM
11:30 PM
12:00 AM
Select the time closest to your second meal of the day
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5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
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11:00 PM
11:30 PM
12:00 AM
Select the time closest to your third meal of the day
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5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
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11:30 AM
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12:30 PM
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1:30 PM
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7:30 PM
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10:30 PM
11:00 PM
11:30 PM
12:00 AM
Select the time closest to your fourth meal of the day
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5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
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11:30 AM
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12:30 PM
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7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
12:00 AM
Select the time closest to your fifth meal of the day
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5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
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4:30 PM
5:00 PM
5:30 PM
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6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
12:00 AM
Do you smoke tobacco products?
*
Yes
No
Do you consume alcohol?
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Yes
No
Rate you ability to perform cardio exercises
*
Beginner
Intermediate
Advanced
Other
How often would you like to workout?
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1-2 days a week
3-4 days a week
5-7 days a week
Up to my FitCru coach
Rate your experience with workouts
*
Beginner
Intermediate
Advanced
What equipment do you have access to?
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Free weights
Cable weights
Pull up bar
Resistance bands
Bosu balls
Kettle bells
TRX
None
Other
What are your fitness goals?
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Aesthetics / Appearence
Cardiovascular endurance
Flexibility
Health
Muscular size
Strength
Speed
Sports performance
Posture
Toning
Other
What is your primary fitness goal?
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Fat Loss
Gain Muscle
Athletics & Sports Performance
Postpartum Fitness
Other
Have you worked out consistently in the past?
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Yes
No
Please tell us about that.
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Any other comments about what you would like to see in your fitness plan?
*
Do you have any coach in mind, with whom you would like to work with on your goals?
FitCru can assess my form and select who is best for me
I have a coach in mind
Whom would you like to work with from our team?
Date for Commencement of Program
*
DD slash MM slash YYYY
Choose a date from which you would like to start the program.
Choose plan type
*
Fitness Plan
Nutrition Plan
Nutrition & Fitness Plan
Which exercise program are you keen to join in?
*
Fat loss (Body weight) - Retain muscle & drop fat
Fat loss (Basic Equipment) - Retain muscle & drop fat
Spartan shredding - Ideal for getting ripped & jacked
Beach body - Ideal for getting toned ,leaner waist and defined legs
Post Partum - Regain your strength and get back into shape
*Fitness programs are for 21 day phases.The Nutrition plan & Customised plan program is monthly
Choose plan length
*
21 Days
63 Days (Discounted Price)
Choose plan length
*
30 Days - Subscription(Extra Savings, Cancel Anytime)
30 Days
Choose plan length
*
30 Days - Subscription(Extra Savings, Cancel Anytime)
30 Days
90 Days
Hidden
Fitness Plan 21 Days
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Fitness Plan 63 Days
Hidden
Fitness & Nutrition Plan 30 Days
Hidden
Nutrition Plan 30 Days
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Nutrition Plan Subscription - 30 Days
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Fitness & Nutrition Plan 90 Days
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Fitness & Nutrition Plan 30 Days Subscription
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