Profilo Benessere – Misura il tuo stile di vita

Profilo Benessere

Benvenuto!

Questo test durerà circa 10 minuti e ti permetterà di valutare la qualità del tuo stile di vita.
Rispondi sinceramente e senza riflettere troppo. In questo modo avremo un profilo realistico e potremo fornirti consigli personalizzati per migliorare il tuo stile di vita.

Buon divertimento!

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Anagrafica

Nome

Cognome

Città

Cellulare

Indirizzo Mail

La tua età?*

Il tuo peso?*

Quali sono i tuoi principali obiettivi di benessere?

Un obiettivo di benessere è qualcosa che desideri migliorare. Per esempio: Avere più energia, perdere peso, aumentare la massa muscolare etc...

1.

2.

3.

Scegli il tuo Consulente*

Questionario 1/4

Dove compri frutta e verdura?*

Quante volte ala settimana mangi carni rosse?*

Quante volte alla settimana mangi pesce fresco?*

Quante volte alla settimana mangi proteine vegetali (fagioli, soia, etc.)?*

Quante volte alla settimana mangi dolci e snack salati?*

Questionario 2/4

Usi prodotti alimentari preconfezionati?*

Quante porzioni di frutta e verdura mangi al giorno?*

Quanti bicchieri d'acqua bevi al giorno?*

Fai uso di integratori alimentari?*

Fumi?*

Questionario 3/4

Consumi alcolici?*

Prendi farmaci per il controllo della pressione o del colesterolo?*

Fai attività fisica?*

Riposi almeno 7/8 ore al giorno?*

Ti svegli riposato?*

Questionario 4/4

Soffri di problemi di digestione?*

Vai di corpo regolarmente?*

Soffri di fastidi come mal di testa, mal di stomaco, etc.?*

Hai problemi di cali di energia durante la giornata?*

Ti capita di perdere i capelli e/o hai le unghie fragili?*

Informazioni Finali

Cosa mangi di solito durante la giornata?

colazione*

Colazione

Snack*

Snack

Pranzo*

Pranzo

Snack*

Snack

Cena*

Cena

Spuntino*

Spuntino

Appuntamento*

Quando vorresti valutare le tue risposte e i tuoi obiettivi con il tuo trainer?

Scegli il giorno ×

Note*

Vuoi aggiungere qualche altra informazione? Scrivi liberamente...

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