The 1 Fitness — By Sangram Chougule

Client Diet & Fitness Questionnaire

Client Name *Contact Number *DateCoach

Basic Information

AgeGenderHeightWeight

Occupation

Food Preferences

Vegetarian / Non-VegetarianLikesDislikesAny dietary restrictions

Fitness Goal

Primary GoalTarget TimelinePrevious Dieting or Training Experience

Workout Details

Do you workout?Days per weekType

Medical History

Any medical conditions (Diabetes, BP, Thyroid, etc.)Food allergies / intolerancesCurrent medications

Body History

Previous weightWeight gainFat storage areas

Lifestyle & Routine

Wake-up timeSleep hoursWorking hoursStress level

Average sleep duration

Discipline & Commitment

Can you follow a strict diet?Cheat meals frequencyCommitment level (1–10)

Current Eating Habits

Meals per dayTea / Coffee intakeAlcohol consumptionDaily water intake

Frequency of eating outside food

Supplement Use

Currently using supplements?TypePrevious experience

Additional Notes

Anything else we should know

Declaration: I confirm that the above information is accurate to the best of my knowledge.Client Signature (Type full name)

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