Free Session Enrollment - Fitness Assessment

Personal Information

Your Name *

Phone Number

Email Address *

Age *

Gender *

Female

Male

Prefer not to say

Other

Professional Information

Organization you work for *

Designation *

Physical Information

Height (in inches) *

Current Bodyweight (in kilograms) *

Current BMI

Body Mass Index (BMI) is widely used for indicating healthy body weight status. You can simply measure your BMI from this site: BMI Calculator

Lifestyle Information

Lifestyle Type / Activity Level *

Sedentary (Mostly sitting throughout the day)

Light Active (Mostly sitting with a little bit of walking, climbing stairs etc.)

Moderately Active (Exercises 2-3 days in a week)

Highly Active (Exercises 5 days or more a week and/or standing and walking throughout the day)

Do you think you regularly eat more or less than what your body needs?

Caloric Surplus

Caloric Deficit

Do you eat outside? (Dine-in/ Takeaway); If Yes, how many times a week do you normally eat outside? *

On a regular day, how stressed you are? (i.e. it can be stress from personal life, work deadline, etc.) *

Lowest 5 Highest

Goals and Challenges

Please describe your fitness goal - be very precise and realistic. (i.e. losing 5kg weight, gaining 3 kg muscle mass, having six-pack abs, running a marathon, etc.)

Please mention your top 3 fitness-related challenges

Shustho Corporate Wellness & Individual Free Session: Fitness Assessment