Fit survey

Is HealthBuddy 365 a good fit for you?

About five minutes. Answer honestly; there are no wrong answers, just a straight read on whether this program suits where you are right now. I'm only taking on one new client at the moment.

About you

Your name *

Email *

Phone (optional)

City / neighbourhood

What's the main thing you want out of this?

Lose weight and keep it off for good Improve my health numbers (glucose, blood pressure, cholesterol) Build a walking and activity habit Lose weight fast for an upcoming event

Please pick one.

Roughly how much weight would you like to lose?

Under 15 lbs 15 to 30 lbs 30 to 60 lbs More than 60 lbs It's not about the number, it's about my health

Please pick one.

Have you tried diets before? What usually happened?

I've tried several. I lost some, then it came back. One or two. I couldn't stick with them. I've never really tried anything structured. I'm on one now and it's working.

Please pick one.

Can you walk comfortably for 45 to 60 minutes?

Yes, easily Yes, with a break or two Not yet, but I want to build up to it No, mobility or pain limits me

Please pick one.

Which weekdays could you walk between 12 PM and 3 PM? Sessions are Monday to Friday, midday only. Pick everything that could work.

Please pick at least one.

Are you willing to log everything you eat and drink in an app, every day?

Yes. If that's what it takes, I'll do it. I'll try. I've struggled to keep it up before. I'd rather not.

Please pick one.

How do you feel about cooking and meal-prepping most of your meals at home?

I already do, or I'm happy to start. Open to it, but I'll need help getting organised. Not realistic for my life right now.

Please pick one.

How many meals a week do you eat out or order in?

0 to 2 3 to 5 6 or more

Please pick one.

Could you cut most sugary drinks and sweets for the first two weeks?

Yes That'll be hard, but I'm willing No, that's not something I'll give up

Please pick one.

Any medical conditions I should know about, and have you talked to your doctor?

No conditions, or my doctor has cleared me to do this I'll check with my family doctor before we start I have a condition and haven't discussed this with a doctor yet

Please pick one.

Sessions are $250 CAD each with a five-session minimum ($1,250), paid by e-Transfer before we start. Does that work for you?

Yes, that works Probably, I have a couple of questions first No, that's outside what I can do

Please pick one.

Why now? What's going on that made you look into this today? A sentence or two is plenty.

Anything else you'd like me to know? Optional.

Your answers go straight to Jason and nowhere else. No newsletter, no spam.