Questionnaire for LuckyFit

*Choose a LuckyFit program

LuckyFit
Weekend

Price of 205 euros

Test weekend with two nights. Includes everything from LuckyFIT REDUCTION: hiking, reduced diet, lecture and more.

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LuckyFit
Reduction

Price of 615 euros

Main direction for healthy weight loss. Choice of 1,200 or 1,700 kcal per day

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LuckyFit
Relax

Price of 754 euros

A new direction aimed at active recreation. Does not offer weight loss. Includes unlimited meals, hiking and / or excursions, medical examinations and everything else from LuckyFIT REDUCTION

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LuckyFit
Athlete

Price of 685 euros

A new direction for seriously advanced mountain hikes. Includes light, reduced meals, hiking between 3 and 6 hours, one full and one partial deep tissue massage

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ReductionRelaxAthleteWeekend

GENERAL INFORMATION:

*Name and surname:

*Age:

*Weight:

*Height:

*Email:

*Phone:

*How did you find out about LuckyFit ??
FriendsGoogleSocial networksAparthotel Lucky BanskoOther

*What is the purpose of coming to LuckyFit ? (select one of the above)
Weight lossMountain hikingAnti-stressYogaHave a good timeI'm a companionOther

*Is this your first time at LuckyFit ? (select one of the following)
For the first timeFor the second timeMore than twice

LIFESTYLE:

1. *Do you follow a certain eating pattern (vegan, keto, separate eating)?*
YesNo

Indicate which one

2. How many times a day do you eat?
12345

3. Does the following diet help you lose weight?
YesNo

4. What food do you NOT eat?

5. *Do you have a diagnosis of food intolerance?*
YesNo

Indicate which foods you are intolerant to:

6. *Are there foods that cause unpleasant symptoms of the digestive system (bloating, heartburn, flatulence, weight after eating, etc.)?*
YesNo

Indicate what these foods are:

LEVEL OF PHYSICAL TRAINING:

7. How many kilometers do you travel per week?
1 – 2 km2 – 4 km4 – 6 kmНад 6 km

8. How many times a week do you exercise for about 45 minutes?
I don't practiceUp to 2 times a weekBetween 2 and 4 times a weekOver 4 times a week

9. How would you determine your level of physical endurance?
I get very tired after exerciseI don't feel very tired after exerciseI don't get tired after exercise

10. How often do you hike?
I don't do mountain hikes1 time a monthBetween 2 and 4 times a monthOver 4 times a month

11. How long are your hikes?
Under 2 hoursBetween 2 and 4 hoursOver 4 hours

HEALTH CONDITION - GENERAL ISSUES:

12. Have you been diagnosed with a heart problem (high blood pressure, low blood pressure, heart failure, etc.) and prescribed treatment for it?
NoYes

Indicate the diagnosis and what drugs:

13. Do you have any other health complaints and are you receiving any treatment for them?
NoYes

Indicate the diagnosis and what drugs:

14. Are you currently taking other types of medications and supplements?
NoYes

Specify what:

15. Do you have chest pain during physical activity?
NoSometimes, but they are mildSometimes, but they are severeOften and mildOften and severe

16. Do you have any of the following complaints: pain in the joints after exercise, low back pain after exercise, shortness of breath during exercise, palpitations after exercise, chest pain without exercise?
NoYes

Specify what it is:

How often and how does it manifest itself?
Sometimes, but they are mildSometimes, but they are severeOften and mildOften and severe

17. Can you give a reason why it is not advisable to do physical activity?
NoYes

Напишете каква:

18. Do you have any of the following symptoms: easy weight gain for no reason, frequent changes in body weight, swelling of the legs and ankles, difficulty losing weight when following a diet?
NoYes

specify which:

How often and how does it manifest itself?
Sometimes, but they are mildSometimes, but they are severeOften and mildOften and severe

19. Did you do blood tests on the list we sent you?
NoYes

Questionnaire for LuckyFit

*Choose a LuckyFit program

LuckyFit Weekend

LuckyFit Reduction

LuckyFit Relax

LuckyFit Athlete

GENERAL INFORMATION:

LIFESTYLE:

LEVEL OF PHYSICAL TRAINING:

HEALTH CONDITION - GENERAL ISSUES:

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LuckyFit
Weekend

LuckyFit
Reduction

LuckyFit
Relax

LuckyFit
Athlete