Please answer the following questions to start your personal profile:

1. How do you feel about your body?

Bad - I don't like how my body feels. I don't think my body is attractive. I don't feel connected to my body.
OK - I don't really have an opinion, but I wish I was more fit or felt beter. I am somewhat connected to my body.
Good - I feel good about my body, but I want to develop a different workout and eating routine. I am very aware of how my body feels.

2. Are you under weight or overweight?

Underweight (10 - 20 lbs under the norm)
Normal Weight (10 lbs under or over the norm)
Overweight (20 lbs and over the norm)

3. What are your eating habits?



Three meals at regular intervals
I eat whenever I am hungry

4. At what time do you eat?

I don't eat breakfast but I eat a good lunch and dinner
I snack all day
I have no regular time for eating (I eat at different times each day)
I don't eat very much during the day, but I overeat at night
I overeat during the day and night

5. What best describes your daily activity outside of working out?

I am very active at my workplace or in my daily activities (nursing, teacher, constuction worker, gardening)

My activity level varies each day (student, parent)
I do lots of extracurricular activies.


6. What best describes what and how much you drink? (check all that apply)

I drink less than eight glasses of water a day
I drink more than two caffeinated beverages a day (coffee, coke)
I drink more than three alcohol beverages a week
I drink three or more sweetened beverages a day

7. What best describes what you eat?

I eat a serving of bread at the majority of meals
I eat junk food on a daily basis (candy bars, potato chips, etc)
I eat processed food during my meals

I eat two servings of meat a day

8. Where do you eat most of your meals?

I eat out all the time
I cook my own meals at home

9. How would you best describe your eating habits?

I crave carbs

I crave sweets

10. Which of the following best describes how you feel when you eat?


I eat when I am fatigued
I eat to keep going

11. How would you describe your body?

Skinny-fat


Average-Normal

12. What best describes your purpose in developing a nutrition plan?


Performance (Increase productivity, athletic training, weekend warrior)
Cosmetic (I want to look and feel better)
Lifestyle change (General health and well-being, or change in ability to be active)

13. What best describes your purpose in developing a workout plan?

To recover from an injury
To look better
To become stronger or gain weight
To lose weight

14. What best describes your interest in using supplements?

I am concerned about aging and health issues
My energy level is low
I do not understand what supplements are or what they do?
I want to improve performance
I want to lose weight
I want to gain muscle
I want to enhance my sexual performance naturally
I want to look like a movie star

15. What best describes your health condition?

Poor
Average

Excellent
AT-RISK (You are being treated by a doctor for a health condition such as obesity (50 lbs or more overweight), diabetes, heart, liver or kidney disease

16. I am interested in receiving information about the following:

Workouts and nutrition plans for teachers
Workouts and nutrition plans for actors
Workouts and nutrition plans for lower back problems
Workouts and nutrition plans for weekend warriors

17. What kind of activities do you enjoy?


Running

Biking

Competitive Sports

18. What is your ultimate goal?

19. What would best describe your understanding of supplements:


Supplements are against the law
I use vitamins and mineral supplements
I am an avid user of supplements

20. What seems to give you more energy?



21. How do you see food?

As energy for life

22. What makes you want to eat?



Exercise

23. When eating do you focus on your food or other events, such as:



24. Is it OK for you to enjoy the foods you like?


25. When eating, do you acknowledge what you are doing?


26. Do you feel your nutrition is well balanced?


27. Do you know what a good balance is?


28. I know exactly what my body needs.


29. I have no idea what my body needs.


30. How many different types of diets have you been on?



31. Losing weight is all about counting calories.


32. My body gets very tired when I go on a diet.


33. My body feels great when I go on a diet.


34. Who cares what I feel like when I diet? Dieting is sooooo boring!


35. I just want someone to tell me what to eat.


36. I want to be in control of what I eat, with a little help.


37. I want to stop using the word diet?


38. Dieting is such hard work.


39. I eat more carbohydrates than I do proteins or fats.


40. I eat more fats than proteins and carbs.


41. I eat more proteins than fats or carbs.


42. I love to eat early in the day.


43. I love to eat at night time.


44. I eat consistently throughout the day.


45. I like to munch all day long.


46. I crave salty foods.


47. I can't live without sugar.


48. Food is the best friend I have.


49. Food is the enemy.


50. My life revolves around food.


51. I use food as a way to improve my exercise performance.


52. If I don't eat, I get moody and irritable.


53. I can go without food all day long then eat one big meal.


54. People don't understand that when I have to eat I have to eat.


55. Supplements are something that atheletes use.


 

56. I take a multi-vitamin and a mineral.


57. I feel great when I take supplements.


 

58. Supplements upset my stomach.


59. What is a supplement?

60. How many different types of supplements do I need?





61. My joints hurt all the time.


62. My body constantly feels stiff.


63. I don't believe in supplements.


64. I have no clue what a supplement is.


65. I want to have higher performance when I exercise with supplement.


66. I want to lose fat with a supplement.


67. My feet and back hurt all the time.


68. My muscles feel as if they have no strength in them.


69. When exercising I feel fatiged all the time.


70. I need something to help me recover faster from exercise.


71. I'm afraid that supplements can harm me.


72. My brain is foggy all the time.


73. I wish I could have a higher level of concentration at work and play.


74. When I exercise I feel tried all the time.


75. My body doesn't recover from work or exercise anymore.


76. I wish someone could teach me how to take supplements properly.


77. I want to have a bigger, stronger, leaner looking body.


78. I want to be able to exercise longer without fatigue.


79. After I exercise I always feel drained.


80. After exercise I feel great.


81. One hour after exercise I'm exhausted.


82. I never get tired after exercise.


83. My body hurts all over after exercising.


84. I can't feel anything after I exercise.


85. My mind goes blank after I exercise.


86. I need to eat right away after I exercise.


87. I wish I felt like I did when I was younger.


88. My body will nver feel young again.


89. My body has too many miles on it.


90. There's no hope for me to feel good again.


91. Feeling good is for the young.


92. I want be able to move my body again.


93. I want a new out look on how I feel.


 

 

 

 

 

   

   

  

   

   

   

   

   

   

   

   

   

   

   

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