MOM + Blog
Train with Fabi
MOM + Blog
Train with Fabi
***please provide as many details as possible. the more information i have - the better i can create a COMPREHENSIVE and effective program for you. ***
How Can Fabiana Help You?
Nutrition & Workouts
I'm not sure
Would you like Fabiana to train you Online or In-person?
*In-Person training is only available for clients in the Philadelphia Area.
I want Fabiana to train me in-person.
I want Fabiana to train me online.
I'm not sure.
How would you describe your present state of health?
Are you taking any prescription medication?
If yes, what medications and why?
When was the last time you visited your physician?
If you've recently had your cholesterol checked please provide as much information as possible.
If you've recently had your blood sugar checked please provide as much information as possible .
Please check any that apply to you:
Chronic sinus condition
High blood pressure
Irritable bowel syndrome
Polycystic ovary syndrome
Please describe any other health conditions that you have, if any:
Please list any major surgeries you've had, if any:
Please list any past injuries you've had, if any:
What are your dietary goals?
Have you ever followed a modified diet? If yes, describe:
Are you currently following a specialized diet (e.g., low-sodium, low-fat, no carbs)? If yes, describe what it is and WHY you choose this diet:
What do you consider to be the major issues in your diet and eating plan? (e.g, eating late, snacking on high-fat foods, skipping meals, lack of variety, etc.) ?
How many glasses of water do you drink per day?
1 glass = 8 ounces
Do you have any food allergies or intolerance? If yes, what?
Please list anything you CAN'T eat here.
Who Prepares your food?
How often do you dine out per week?
What do you typically eat for breakfast?
What do you typically eat for lunch?
What do you typically eat for Dinner?
What do you typically eat as a snack?
What foods do you crave?
How is your appetite affected by stress?
Do you drink alcohol? If yes how many times per week? How much do you drink on each occasion?
Do you use tobacco? If yes how many cigarettes, cigars, etc. per day?
Do you take any vitamin, mineral, or herbal supplements? If yes please describe:
Do you currently participate in any structured physical activity? (e.g., cardio, strength training, sports, yoga, etc.)? If yes how often?
On a scale 1-10, how ready are you to adopt a healthier lifestyle?
1 = very unlikely 10 = very likely
What would you like do with your weight?
What was your lowest weight within the past 5 years?
What was your highest weight within the past 5 years?
What do you consider to be your ideal weight (the weight at which you feel best)?
If you don't know, just say "I don't know".
What is your present weight?
What are your current waist and hip circumferences?
or say "I don't know".
What is your present body composition (body fat%)?
or say "I don't know"
Please provide your age:
Please provide your height:
What are you hoping to accomplish by following this nutrition plan?
Are you a mother?
Try to pick one answer below that BEST describes your TOP fitness goal.
Increase Lean Muscle
What is your average daily activity level?
LOW: little to no exercise a day
MEDIUM-LOW: 15-20 minutes a day
MEDIUM: 45 minutes a day
MEDIUM HIGH: 60 minutes a day
HIGH: more than 60 minutes a day
Please provide me with any other feedback or information you would like me to consider while creating your program