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FitCru Fill Assesment Form

Step 1 of 4 - CONTACT DETAIL

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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:*
When it comes to health and fitness I would really love to _____
Now finish this one:*
And this is really important to be because ____
What is your height (in cms)*
What is your waist? (It should be measured around the naval in inches)*
What is your current weight (in kgs)*
What is your ideal body weight (in kgs)*
Do you have any of the following health issues?*
- High blood pressure
- Diabetes
- Hypothyroidism
- PCOS
- None
- Other
Tell us more*
How active are you physically?*
- 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?*
- 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?*
- 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.*
- Lactose
- Gluten
- Fruits
- Sea Food
- Pork
- Red Meat
- Peanuts
- Tree Nuts
- None
- Other
Please list all foods separated by a space*
Please select your typical meals per day*
- 2 Meals
- 3 Meals
- 4 Meals
- 5 Meals
Select the time closest to your first meal of the day*
Select the time closest to your second meal of the day*
Select the time closest to your third meal of the day*
Select the time closest to your fourth meal of the day*
Select the time closest to your fifth meal of the day*
Do you smoke tobacco products?*
- Yes
- No
Do you consume alcohol?*
- Yes
- No

Rate you ability to perform cardio exercises*
- Beginner
- Intermediate
- Advanced
- Other
How often would you like to workout?*
- 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?*
- Free weights
- Cable weights
- Pull up bar
- Resistance bands
- Bosu balls
- Kettle bells
- TRX
- None
- Other
What are your fitness goals?*
- Aesthetics / Appearence
- Cardiovascular endurance
- Flexibility
- Health
- Muscular size
- Strength
- Speed
- Sports performance
- Posture
- Toning
- Other
What is your primary fitness goal?*
- Fat Loss
- Gain Muscle
- Athletics & Sports Performance
- Postpartum Fitness
- Other
Have you worked out consistently in the past?*
- Yes
- No
Please tell us about that.*
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*
Which exercise program are you keen to join in?*
*Fitness programs are for 21 day phases.The Nutrition plan & Customised plan program is monthly
Choose plan length*
Choose plan length*
Choose plan length*
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Fitness Plan 21 Days
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Fitness Plan 63 Days
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Fitness & Nutrition Plan 30 Days
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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
Email
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CONTACT INFO

501 homestead building
Santacruz West, Mumbai 5
400054, Maharashtra, India
Contact@fitcru.com
+91 9930273333

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Terms & Conditions

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Refund & Cancellation

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FOLLOW US

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