Fitness with Sabina

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Why we collect this information:
The details you provide help us create a personalized diet plan and understand you better as our client.
Your privacy matters: This information will never be sold or used for any other purpose.

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Personal Information

Full Name

Age

Gender

Height (cm or inches)

Weight (kg or lbs)

Target Weight (if applicable)

Health and Fitness Goals

Primary Goal

Target Timeline

Specific Areas to Focus On

Exercise Routine

Current Fitness Level

Other Exercises Outside Group Sessions?

If yes, please describe

Injuries or Physical Limitations?

How do you feel after workouts?

Use Fitness Trackers or Apps?

If yes, please specify

Dietary Preferences

Specific Diet

Food Allergies or Intolerances

Foods You Dislike or Avoid

Favorite Foods or Cuisines

Meal Frequency Preference

Medical History

Chronic Medical Conditions

Current Medications or Supplements

Family History of Medical Conditions

Recent Lab Tests (details)

Current Eating Habits

Meals Per Day

Typical Day of Eating (describe meals/snacks)

Do you skip meals? If yes, which and why?

Water/Fluid Intake (per day)

Alcohol Consumption (how often?)

Do you smoke?

Lifestyle Factors

Hours of Sleep Per Night

Stress Levels

Do you have time to cook at home?

Meal Planning & Budget

Time for Meal Preparation (per day)

Have you tracked calories before?

Macronutrient Preferences (e.g., high protein, low carb)

Open to Supplements?

Weekly Grocery/Meal Plan Budget

Access to Fresh Produce/Specialty Items?

Anything else you'd like us to know?

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We will review your details and create a personalized diet plan for you.

You'll receive your custom plan within 24-48 hours.

In the meantime, feel free to connect with us:

Fitness with Sabina - Your journey to better health starts here! 💪✨

Personalized Diet Plan Form

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