Just answer these details below about your lifestyle, health, exercise habits and we will create a perfectly fitting custom plan for your daily routine.
Weight Units (Imperial/Metric)
Average Daily Activity Level
Light (office/desk work)Moderate (manual labor)Heavy (physically demanding)
Average Time Spent In Gym Or Working Out
NONE1-3 Days Per Week4+ Days Per Week
NONEGluten FreeLactose FreeLow GlycemicVeganVegetarianPaleo
Do You Prefer a More simple Or More Complex Recipe Based Meal Plan?
SIMPLE (Fast prep time, minimal ingredients, easier shopping but less exciting meals)Recipe Based (Longer Prep time, more ingredients, more items to shop for and more flavourful meals)Hybrid (Simple During the Day but More Recipe Based for Dinner)
What Is Your Biggest Goal You Are Trying To Achieve?
Decrease Body FatImprove StrengthGain MuscleWeight LossImprove HealthOvercome Injury
Are You Currently Active Or Lifting Weights?
Do You Have Access To a Public Or Home Gym?
Is Anyone In Your Family Overweight?
Are You Overweight?
If Overweight, Have You Always Been Overweight?
YESNoDoes Not Apply
Are There Any Injuries That Need To Be TAKEN INTO CONSIDERATION FOR YOUR EXERCISE PROGRAM?
I recognize that in preparing this questionnaire I have disclosed true accurate and fair information about my health. Upon receipt of my plan I agree to confirm with my physician that I am medically cleared to engage in this type of athletic program. I understand that providing false information and failing to seek a medical opinion as to my ability to carry out these plans could result in serious bodily injury and even death. Please carefully review any provided plans against your existing food allergies. It is your responsibility to verify that the plan does not use foods that you may be allergic. While we attempt to tailor your plans to meet your dietary needs the ultimate burden of ensuring that you do not eat a food with which you may have an allergy rests with you. I understand that these plans are not a medical service and have not been reviewed by a medical doctor or health care professional and we do not warrant them as being reviewed by such. I specifically agree to indemnify and release LIFE RENU from any injury resulting from a discrepancy in this questionnaire or from my own failure to seek medical advice to verify my ability to engage in the athletic plan.I understand and appreciate that these plans require proper supervision by a doctor. I agree to review this plan with my doctor or otherwise indemnify LIFE RENU from any liability from using this plan without a doctor. I specifically understand that LIFE RENU does not have doctors on staff and that this service is provided to be used in conjunction with proper medical guidance.
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