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Your personalized coaching questionnaire :

Hello Safae and thank you for trusting me to support you on your journey!

Your well-being is my top priority, and these questions will help me better understand your lifestyle, eating habits, and goals so I can offer you 100% personalized support.

There are no right or wrong answers, just be honest. I am not here to judge you, I am here to help you and guide you step by step.

All of your answers will remain strictly confidential.

 Questions marked with an asterisk (*) are mandatory, the other questions are optional.

1- Personal information

First name :

Last name :

Age :

Height :

Weight :

Gender :

Gender :

Activity level :

Activity level :
A
B
C
D
E

What’s your primary goal ?

What are your main current difficulties ?

What are your main current difficulties ?

Have you ever followed a diet before ?

Have you ever followed a diet before ?

If yes, why didn’t it work ?