Preface
Trainer of well-being
Lifestyle Personal Trainer
Program
Questionnaire
The Life Coach
Curriculum
Open letter
Offers
Photos aesthetic welfare

 
Questionnaire on physical conditions

QUESTIONS ON PHYSICAL CONDITION

The last blood test:

Any pathology / surgery:

Drink alcohol?

Stimulants (coffee, tea, thermogenic, etc.)?

During the week, how many times happen to fail to follow the diet or feel an excessive need carbohydrates?


Actual hours of sleep:

It has a disturbed sleep or continuous?

Feels rested / a as soon as you wake up in the morning?

Feels the need to sleep in the afternoon?

1 to 10 how you feel stressed / a?

Describe how it feeds during the day:

Breakfast:

Snack (if any):

Lunch:

Snack (if any):

Dinner:

What kind of food supplements currently using?

Describe your way of life, a typical day "type" (ex. I wake up at x, I go to work by x hours at y, etc.)