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Summer Survival Challenge - Questionnaire
Summer Survival Challenge
Answer these questions to personalise your plan.
Basic Details
Full Name
*
Email
*
Confirm Email
*
Mobile Number (WhatsApp)
*
Country / Address
Is it your first time joining our challenges?
*
Yes
No
Where did you hear about this challenge?
Your Motivation
What made you join this challenge?
What do you expect from this challenge?
What has been your biggest struggle when it comes to weight loss or maintaining your weight?
Body & Goals
Date of Birth
*
Gender
*
— Select an option —
Male
Female
Marital Status
— Select an option —
Single
Married
Dating
Do you have kids?
Yes
No
Height (cm)
*
Current Weight (kg)
*
Goal Weight (kg)
*
Health Information
Do you have any allergies or intolerances?
*
Gluten
Lactose
Dairy
None
Other
Other allergies (if any)
Health Conditions
*
PCOS
IBS
Hashimoto
Endometriosis
High Cholesterol
Insulin Resistance
Anemia
None
Other health conditions
Nutrition deficiencies if any
Lifestyle
Have you followed a diet in the past?
— Select an option —
Yes
No
Do you follow a specific diet?
— Select an option —
No
Vegetarian
Pescatarian
Vegan (not recommended)
Carnivore
Activity Level
— Select an option —
Sedentary
Lightly active
Active
Very active
Do you have time or support to cook meals?
— Select an option —
Yes
No
No fixed routine
Financial Readiness
Income per month
— Select an option —
Less than $1000
Less than $3000
More than $7000
Start My Transformation
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