{{userData.custname}}

Reset Password

Logout

Transformation Questionnaire

Age *

Gender*

Empty stomach body weight in Kgs *
(Measure body weight in the morning before eating or drinking anything and after bathroom rituals)

Select your transformation goal.*

Briefly explain your goal *

Any known medical conditions? *
Are you on any medications now? (if so explain):

Any dietary restrictions(if so explain) *

Please list any food allergies, sensitivities or intolerances. *

How many meals do you have per day? *

Explain your current workout split(if any) and daily activity level. *

How many days do you wish to train?*

Do you prefer home or gym based workouts?*

How many body weight pushups can you do?*

Are you new to weight training?*

Do you suffer from chronic illness or injury that may prevent you from performing certain types of exercises?*

If yes, please tell us in detail about your condition. *

Food items that you have on a daily basis.(briefly explain quantity)

Food items that you really like.

Food items that you dislike.

Height(in cm) *

Waist measurement in cm *

Hip measurement in cm *

Neck measurement in cm *

Have you used any supplements before? If yes, mention below(whey protein, creatine etc)

Occupation

Do you have kitchen scale in hand? *

Please share the date of your last blood test. Any significant findings: (explain)

What is the frequency of your bowel movement?

Please check the number of instances when you have consumed antibiotics in your life:

Do you smoke?
If yes, please tell how many cigarettes you consume in a day:

Do you drink alcohol?
If yes, in what amounts? And how frequent is the consumption?

Have you had a bone mineral density evaluation (if over 50 years old)?
Please mention when was the test done. Also mention any significant findings:

Rate yourself on a scale of 1 to 5 on your muscular capacity and strength:

Rate yourself on a scale of 1 to 5 on your athletic ability:

Rate yourself on a scale of 1 to 5 on your flexibility and mobility:

Do you currently do cardiovascular exercise? If yes, please mention the type of activity performed and the duration for the same. Eg: jogging, thrice a week for 30 minutes:

Rate yourself on a scale of 1 to 5 on your cardiovascular ability:

Have you had any major orthopedic surgeries conducted? Eg: hip replacement, broken bones:

Along with the form, send us your physique pictures in the chat as given below.

This transformation in your priority list?

How did you hear about EIT?*

Before submitting this application, please read and understand the following:*
You (the customer) totally understand that you (the customer) may injure yourself as a result of participation in a sport or contest preparation/fitness program, and hereby release EIT or any of its members from any liability now or in the future for any injury or medical problem, occurring during or after your participation in the sport or contest preparation/fitness program offered. By submitting this form, you state that in consideration of your participation in the program offered by EIT, you for yourself, your personal representatives, administrators, heirs and assignees, hereby hold harmless EIT or any of its members from any claims arising from your participation in the sport or contest preparation/fitness program. You have been given the opportunity to present questions in all related matters and have not been forced into purchasing our product, advice or intellectual capital. In addition, by agreeing to these terms you also verify your understanding that refund is only possible when 100 days of transformation is complete and you have followed all the rules and regulations of the program and still haven't got any kind of results. By submitting this form, you affirm that you have read, have been honest with EIT and its members and also fully understand the above information. Do you agree to the terms of this waiver?

Don't worry, your progress is automatically saved

{{userData.custname}}

Reset Password

Logout

Please Complete Questionnaire

Close

Successfully Saved

Close

Are You Sure !
You Want to Signout

Yes No