Questionnaire for LuckyFit

*Name and surname:

*Age:

*Weight:

*Height:

*Email:

*Phone:

*Reserved participation period:

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

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

1. *What is your preferred kcal intake for your stay?*
1250 kcal1650 kcal

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

3. What food do you NOT eat?

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

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

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

7. 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

8. 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

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

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

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

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

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

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

15. 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

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

Please specify:

17. 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

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

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