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Ignacio Sports creating healthier lives.
Thank You for choosing Ignaciosports, a nutritionist will

contact you within 3 business days after the

completion of the questionnaire below.

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First name (required)

Last Name (required)

Email (required)

Phone Number(required)

Ignacio Sports Initial Consult Questionnaire

What's your age? (required)

What is your current weight?BMI? body fat %? (required)

What is your weight?(required)

what is your height? (required)

Describe your family / home life (required)

Do you have any dietary restrictions (religious/ preferences/ health reasons)? (required)

Do you have food allergies?(required)

Are you taking any prescription medications?(required)

Do you have any current health concerns? (required)

Do you drink alcohol or smoke? how much how often? (required)

Are you comfortable cooking for yourself?(required)

How often do you eat out or ordering take out? (required)

What is your physical activity level?(required)

Describe any past weight loss attempts, successes and challenges
Describe your sleep habits (required)

What do you currently eat on a typical day? (required)

What is motivating you to lose weight? (required)

Do your family and friends support your weight loss efforts? (required)

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