INFS FTP

FTP QUESTIONNAIRE

“Every Adventure requires a first step and fortunate are those who take the first step because you are
not going to stay where you are✨.”

As we know Information is a source of learning and to take advantage of it, it should be organized,
processed and available to the right people in a format for decision making. Because accurate information is
a key part of motivation. So, Congratulations on your first step 🎉🎊 and I am looking forward for the below
detailed information from you☺.

Client Basic Information:

● Name-
● Age-
● Gender-
● Occupation-

Client Initial Fitness Assessment & Measurements:

● Weight in Kg-
● Height in ft and inches-
● Waist in inches at the natural waistline-
● Hips in inches at the widest part-
● Neck size in inches-
● Bicep size in inches-
● Quads size in inches-
● Resting Heart Rate-
● Blood Pressure-

Client’s Lifestyle Information:

● Choose your Activity Levels from the below 1,2 and 3 points-
1. Sedentary (Seated work only, less than 30mins walk or 3k steps/day)
2. Moderate (Light activity, more than 30 mins or 3k-6k steps/day for at least 3 times a week)
3. High (Very Active, more than 30 mins or 8k steps/day for 5+ days a week)
● Please list the Physical activities that you participate in outside of the gym and outside of work-
● Smoking & Drinking Habits: If Yes than (Frequency & if quit, then how much time since last smoke)-
● Food Preference (Select anyone from below 6 points):
1. Vegan (Only Plant based foods)
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2. Jain (Only Plant based foods excluding root vegetables)

3. Lacto-Vegetarian (Plant based foods & milk products)
4. Ovo-Vegetarian (Eggs and plant-based foods, no milk products)
5. Pescatarian (Fish, Eggs, Milk and plant-based products)
6. Non-Vegetarian (All animal and plant-based foods)
● List of favorite food items😋-
● Number of meals you usually take in a day: (2,3,4,5)-
● Kindly please explain in detail what you usually have for each meal-
1. Meal 1:
2. Meal 2:
3. Meal 3:
4. Meal 4:
5. Meal 5:
● Do you consume Tea/Coffee? If yes, how many cups?
● Any snacks you prefer with Tea/Coffee? If yes, what do you usually have?
● How frequently do you order from food Delivery Apps/ Eat from outside?
1. What do you usually order?
2. One food item you order when Happy😊/sad😑?
● Do you have any food allergies? If yes, please explain in detail.
● Do you observe any fasts? If yes, detail the duration and accepted food items in this period.

Medical History, Health Information and Risk Assessment:

● Let us know if you have had: Heart Attack/Failure/Surgery or currently on any heart medications-
● Do you experience: Chest Discomfort, unreasonable breathlessness, dizziness, Ankle swelling, rapid
heart rate-
● Other Health related queries- Please mention Yes in front of the below points if any.
1. Diabetes-
2. Asthma or Lung Disease-
3. Burning or Cramping sensation in your lower legs when walking short distance-
4. Any Musculoskeletal problems that limit your physical activity-
5. Any concern about safety of exercise-
6. Any Prescription medications-
7. Pregnant-
8. PCOS/PCOD-
9. Hypothyroidism/Hyperthyroidism-
10. Any other medical condition you have-

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Diet History of usual 72 Hours with quantity if remember or any guesses:

● Day 1:
1. Breakfast-
2. Lunch-
3. Snacks-
4. Dinner-
● Day 2:
5. Breakfast-
6. Lunch-
7. Snacks-
8. Dinner-
● Day 3:
9. Breakfast-
10. Lunch-
11. Snacks-
12. Dinner-

Exercise History:
● Do you have prior experience of exercise?
● Preferred form of exercise-
1. Gym/Home workouts
2. Running/Walking
3. Yoga
4. Others (Please mention)
● How many days in a week do you currently workout?
● How many days in a week can you workout and for how long?

Goals and Expectations:

● Goals (Select anyone)-
1. Fat Loss
2. Muscle Gain
3. Overall Health
4. Sport-specific
● What are your expectations from this program and from your coach?
● Which type of progress is more important to you: 1st or 2nd
1. Immediate progress that’s less easily maintained
2. Maintainable progress that may not be as rapid
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● Please share your most frequent Health, Nutrition or Physique complaints and/or dissatisfactions-
● Are you willing to do at least five hours of physical activity each week?
● Do you have a Kitchen weighing scale?

Kindly please mention in detail in case there is anything I have missed and should know before starting the
Diet and Workout plan.

Thank you for sharing the information you provided, and I appreciate the time and effort you spent
gathering all of it. Looking forward to working with you on this journey😊.

Thank you