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1st Mood-Based Workout App
Quiz: What Kind of Fit Girl Are You?
Healthy Lifestyle Quiz
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Book Call
Resources
1st Mood-Based Workout App
Quiz: What Kind of Fit Girl Are You?
Healthy Lifestyle Quiz
About + Contact
Sign In
My Account
L3 VIP Questionnaire 2025
L3 VIP Questionnaire
Name
*
First Name
Last Name
Email
*
First and foremost, please share why you became an L3 VIP! Please list all of your health and fitness goals.
*
Age
*
Height
*
Weight
*
Occupation
*
Average daily activity level
*
Sedentary
Moderately Active
Active
Very Active
What time do you normally wake up?
*
Hour
Minute
Second
AM
PM
What time do you normally go to sleep?
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Hour
Minute
Second
AM
PM
Do you smoke or vape?
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Yes
No
Once in a while
Do you drink alcohol?
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Yes
No
If yes, how many drinks per day?
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If I could change one thing about my health and/or nutritional habits it would be?
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Do you ever feel weak, fatigued, or sluggish?
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Yes
No
How many meals do you eat each day?
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Do you know what you eat in macros each day?
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Yes
No
Do you crave __________
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Salty/Savory
Sweet
Both
Is food texture important to you?
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Yes
No
Do you need several cups of coffee to keep you going throughout the day?
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Yes
No
Are you sensitive and/or allergic to gluten?
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Sensitive
Allergic
Neither
How long have you been exercising?
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Desired Weight
*
Desired waist, hip, dress and/or pant size
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I would like to exercise _________ times per week
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What time of day do you like to exercise?
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Hour
Minute
Second
AM
PM
Is there an upcoming event you are preparing/training for?
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If so, please describe
What makes it difficult for you to exercise on a regular basis?
*
Please check all that apply
Knowledge
Motivation
Discipline
Accountability
Intimidation
Boredom
Time
I would like to:
*
Please check all that apply
Increase muscle tone
Lose body fat
Increase stamina
Increase strength/lean mass
Improve overall health
Which of the following statements best describes you?
*
I can eat almost anything I want and won’t gain weight. It is very hard for me to gain weight.
I can lose or gain weight by adjusting my activity level and eating habits.
I find it difficult to lose weight. I can gain weight easily and have to watch what I eat.
Please check off all that apply to your eating:
*
Low Fat
Low Carb
High Protein
Low Sodium
No Gluten
Vegetarian
Vegan
High Raw
Diabetic
Pre-Diabetic
No Dairy
Paleo
Pescatarian
Other
Please list any food allergies, sensitivities, intolerances, diet restrictions or limitations for any reason (health, cultural, religious, ethical or other)?
*
Do you take any other medications not previously listed?
*
How much water do you consume on average each day?
*
How do you currently measure your water consumption?
*
What's your favorite 'cheat' meal?
*
What’s your favorite fast food chain?
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(if any)
Do you travel frequently? If so, please describe.
*
Eating Style – Based on how you eat on a regular basis, please check all that apply:
*
Fast Eater
Erratic Eater
Emotional Eater (stressed, bored, sad, etc.)
Late–Night Eater
Negative Relationship with Food
Do Not Plan Meals/Menus
Family Member(s) Have Different Tastes
Self–Proclaimed Foodie
Rely on Convenience Items
Time Constraints
Dislike “Healthy” Food
Confused about Food/Nutrition
Frequently Eat Fast Food
Do you intermittent fast? If so, what is your split?
*
Do you exercise excessively to compensate for overeating? If so, please describe.
*
Have you ever been diagnosed with an eating disorder? If so, please describe.
*
Are there any other medical conditions, previous injuries or physical challenges to be aware of?
*
Please describe some of your favorite meals
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Please describe some of your LEAST favorite meals and/or foods
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Which main meal do you skip the most, and/or consume the least in a given day
*
Do you enjoy snacking? If so, when and what do you like to snack on the most?
*
Do you eat fruit/berries? If so, how often and what are your favorite kinds?
*
What do you consider yourself to be?
*
A grazer
A 3 square meals kinda person
Somewhere in between
Were you a serious athlete at one point in your life?
*
Please describe
Do you currently work as a professional model, actor or other image–conscious profession? Have you previously?
*
Please describe
What kind of exercise feels most natural for you?
*
Please provide as much detail as possible
What kind of exercise do you enjoy THE LEAST?
*
Please describe
When you lose weight, where does it show first?
*
Where would you say you build muscle the fastest?
*
Please close your eyes and visualize the EXACT physique you want to have. Have you ever had this look before?
*
Yes
No
Sort of
Please walk me through a typical day of eating for you
*
Please give as much detail as possible.
Do you drink tea? If so, what kind, and when?
*
Do you currently consume and fat-burners and/or pre-workouts?
*
Please describe.
If you do consume caffeine, what is your cut-off time each day?
*
Please walk me through your current morning routine
*
Please walk me through your current evening routine
*
Do you currently commute to work? if so, how long is your commute each way?
*
Please rate your stress level from 0-10
*
Not stressed at all = 0, Extreme levels of stress = 10
0
1
2
3
4
5
6
7
8
9
10
Anything else important to add?
*
Thank you!
