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FITNESS 15-POINT QUESTIONNAIRE


1. Do you currently suffer from any physical ailments or injuries?
 
Yes No
   
2. Do you have a family history of health related problems or disease?
 
Yes No
   
3. Do you find your self short of breath after performing daily activities like walking, climbing one flight of stairs, getting up or down or in and out of a vehicle?
 
Yes No
   
4. What is your primary fitness goal?
 
Lose Weight
Maintain Weight
Maintain weight and increase lean muscle
   
5. How would you rate your current fitness abilities?
 
I don’t work out at all at this time.
I’ll squeeze in a workout when I get a chance. (No more than once or twice a week.)
I enjoy playing recreational/ competitive sports on a regular basis.
   
6. How would you rate your current life style?
 
Sedentary (very little activity; seated most of the day; light work if any).
Light Activity (On your feet most of the day; performing regular chores or activities).
Active (On your feet and moving objects for extended periods of time through out the day).
Very Active (On your feet performing heavy lifting/ moving of objects; vigorous exercise; athletics).
   
7. Do you enjoy exercising regularly?
 
Yes No
   
8. Do you enjoy the feeling of breaking a sweat?
 
Yes No
   
9. Do you want to put an emphasis on tightening and toning your buttocks and thighs?
 
Yes No
   
10. Do you want to put an emphasis on tightening and toning your abdominals?
 
Yes No
   
11. On a scale of 1-10, 10 being very flexible, how would you rate your current flexibility?
 
1 2 3 4 5 6 7 8 9 10
   
12. On a scale of 1-10, 10 being very energetic, 1 being calm and reserved, how would you rate your current energy level?
 
1 2 3 4 5 6 7 8 9 10
   
13. How many days per week are you willing to make time for regularly planned exercise?
 
3 days per week
4-5 days per week
5 -7 days per week
   
14. Are you ready to make the changes necessary to help improve your current health and fitness status?
 
Yes No
   
15. Are you ready to have FUN?
(Press yes to continue to the next portion of your personalized Slimtree fitness plan.)
 
FITNESS
● Yoga - not just for women
● Fitness Glossary
● Exercise: Definition and
Benefits
● Age & Working Out
● Why Women Need to Exercise
● The differences between anaerobic and aerobic workouts
● What is Pilates? How did
 it start?
● What are the risk if you don't exercise
● 10 Golden Rules for Experiencing the Ultimate Workout
● Armchair Yoga - What is It?
● Benefits of Online Workouts
● Stress? Start an exercise program.
● Exercising and your Wallet: What you should know
● Fitness Facts and Myths?
DIET 
● How many calories am I burning?
● Eating the right food and maintaining good eating habits
● Proper Nutrition on the road?
● Why some diets don't work?
ORGANIC FOOD 
● Organic Food and The Health Benefits
● How Organic Food effects the Environment
● What does “Certified Organic” mean
● What does the label mean?
 

 

 

 

 

 

 

 

 

 
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The consumer health information on Slimtree.com is for informational or educational purposes only and is not a substitute for medical advice or treatment for any medical conditions. Consult a physician before starting any exercise program or Fitness Video.
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