FitPlan · 1:1 coaching

Personalized intake form

This form helps us build your 1:1 training and nutrition plan. You don’t need any technical knowledge—answer honestly and take your time.

Estimated time: 8-12 min · the more detail you give, the better we can tailor your plan

About you

Full name *Email *WhatsApp *Instagram (optional)City & country *Which service are you interested in?Age *SexHeight (cm) *Current weight (kg) *Target weight (kg)

Goals & timeline

Main goal *Target date (if any)

Secondary goal or detail

Current training & availability

How many days per week do you train now? *How many days per week will you commit to? *What time of day would you usually train?How long is a session?Do you want the plan for home, gym, or both?If training at home, what equipment do you have?

Specific days you can commit to training (if you know them)

Equipment available (if any)

Health & history

This section helps us adapt your plan safely.

Health questions

Any childhood illness? Which one?Current pain or injuriesRelevant past surgeriesCurrent medication & supplementsMedical conditions or diagnoses

Do you have diabetes?Do you have high blood pressure?Any heart condition? Which one?Do you have hypothyroidism?High cholesterol and/or triglycerides?Constipation, IBS or digestive pain?

Lifestyle habits

Do you rest well?Stress levelSleep qualityHours of sleep per nightHow many hours per day do you work? *

Which days do you usually work?

Current nutrition

No need for “perfect” answers—tell us how you usually eat today.

How many meals per day and at what times? *

How would you describe your appetite?When are you hungriest during the day?

Frequent snacks & drinks

Food preferences

Tap once = like, twice = dislike, a third time = neutral. Unmarked items count as neutral.

🥩 Meats

🐟 Fish & seafood

🥦 Vegetables

🍎 Fruit

🍳 Other foods

Allergies / dietary restrictionsWater per day (approx.)

AlcoholSmoking

Digestion issues (bloating, reflux, etc.)Food budget (approx.)

Realistic time to cook per dayA typical day of eating: from wake-up to bedtime *Supplements? Which ones and brand?If none, would you like to start any?Have you dieted before?

Motivation & follow-up

Physically, what would you like to improve? *Aesthetically, what would you like to change? *Why do you want to start now?What’s hardest for you right now?Extra commentsAnything else? (optional)

Confirmation & submit

I confirm the information is accurate and I authorise its use so Lucas can build my personalised training and nutrition plan.

Questions? Contact us