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Comprehensive Lifestyle and Wellness Questionnaire New

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Do you consent to receive SMS messages from our virtual ShakaPT fitness assistant?

Yes

Have you read and agreed to our Privacy Policy? (https://shakapt.com/privacyandcookie-policy/)

Yes

What is your first name?

What is your last name?

What is your email address?

What is your phone number? (Fitness via Text. We'll send workout reminders and guidance to your phone. Easy opt-out anytime.)

What is your address?

City

State/Province

Zip/Postal

Country

Could you please identify your gender?

What is your date of birth?

What is your height?

What is your current weight?

What is your target weight or weight goal?

What is your body type?

Ectomorph (Naturally slight build, relatively little muscle, little fat, generally a higher metabolism)

Mesomorph (Naturally athletic build, relatively higher muscle, relatively lower fat, generally a higher metabolism)

Endomorph (Naturally large build, realtively higher far and muscle, generally slower matabolism)

Not Sure

Are you currently pregnant?

Yes

Are you currently taking any medications? If so, please list them.

Does your medical history include any of the following diseases?

Where do you currently experience pain?

Can you touch your toes without bending your knees?

Yes

Can you walk up the stairs without feeling winded?

Yes

Can you stand up from a sitting position without having to use your hands?

Yes

What are your fitness goals?

Are there any specific areas of your body or muscle groups you want to focus on?

How soon would you like to achieve this goal realistically?

What do you believe could prevent you from achieving your goal?

How many days a week are you committed to working out to achieve this goal?

How much time can you allocate to each workout?

Are you open to trying new or challenging exercises, or do you prefer sticking to familiar routines?

New or challenging exercises

Familiar routines

Do you have any specific preferences when it comes to gym equipment?

Do you follow any of the following diets?

What kind of protein do you usually consume?

How many meals do you eat per day?

How much time do you have for meal preparation each day?

Are there any specific kitchen tools or equipment you have access to?

Do you have any specific nutritional goals (e.g., increase protein intake, reduce sugar)?

Are there any specific foods or ingredients you dislike or prefer not to include in your meal plan?

How many meals or snacks do you prefer to have in a day?

Could you indicate your preference among these carbohydrate-dense foods?

Are you interested in incorporating any specific types of foods or superfoods in your meal plan?

Do you have any of the following food allergies?

Are there any specific foods or ingredients you dislike or prefer not to include in your meal plan?

How do you perceive the quality of your nutrition intake through your current eating habits?

Do you have any specific preferences for portion sizes or macronutrient ratios (e.g., higher protein, lower carbs)?

Are there any specific supplements or dietary aids you currently use or are interested in incorporating?

Can you gauge your current expertise in fitness practices?

How many years have you been consistently incorporating exercise into your daily routine?

Have you been consistently active in your workouts for the last three months?

Yes

What kinds of physical exercises do you typically participate in during a week?

Do you have past experiences of training under the guidance of a professional coach?

Yes

Is there a specific type of exercise or workout that you are particularly interested in emphasizing in your routine?

Would you consider including home-based workout equipment in your fitness routine, or do you solely prefer working out at the gym?

Do you have any short term goals we should know about?

Do you have any long term goals we should know about?

How would you like our virtual fitness assistant to communicate with you? Choose the style that would motivate you the most:

Friendly and Casual: "Hey there! 😊 Ready for today's workout? Let's have some fun!"

Professional and Informative: "Greetings. Your scheduled workout is ready. Please begin with the following exercises..."

Motivational and Enthusiastic: "You're unstoppable! 💪 Dive into today's routine with all you've got!"

Strict and Disciplinarian: "Commitment is key. It's workout time. Adhere to the regimen."

Calm and Mindful: "Embrace the moment. 🧘 Focus on each movement and find your balance today."

Humorous and Light-hearted: "Who's ready to wiggle and jiggle? 😜 Time for some action!"

Sarcastic and "Tough Love": "Oh, look who's finally ready. Maybe today you won't slack off. 🙄"

As a health and nutrition website, we value your feedback and strive to provide the best services to our customers. We understand that our weekly program may not be suitable for everyone. Before we conclude the questionnaire, we would like to ask: Based on the information you have received and your current needs and goals, would you be interested in purchasing our weekly program for $34.99 a month? If you are interested, you can proceed with the purchase using one of the following options:

PayPal

Credit Card

Password

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Unlock your potential with our Expert Trainers. Our expert trainers design personalized grocery and workout plans tailored to your fitness goals.

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Experience exceptional online support with our weekly grocery and workout plans. Our dedicated team will guide and motivate you every step of the way.

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we are ShakaPT

Welcome to ShakaPT! Our mission is to empower you through personalized grocery and workout plans aligned with your fitness goals. Join our community and unleash your true potential. Let’s make waves together!

Our method has been tested

★★★★★ 5/5

When I started going to the gym, I had no fitness direction. Then, I discovered ShakaPT. Their guidance transformed me, and I became a Musclemania Superbody winner. Thank you, ShakaPT, for unlocking my potential!

Randall Fisher

★★★★★ 5/5

"Like most, lack of exercise and poor diet throughout the first year of the pandemic led to rapid weight gain. Shaka helped me to revamp my diet and reinstitute a workout routine that works for my busy schedule. I look forward to our workout sessions and can’t wait to see my body continue to transform."

Chelsea Miles

★★★★★ 5/5

"ShakaPT has been my perfect support system in achieving my health and fitness goals. ShakaPT provides excellent support, education, and motivation. With flexible training options and tailored meal plans, I've seen incredible results. From non-existent glutes to muscle growth, ShakaPT helped me become the best version of myself. I can't thank Shaka enough for the strength, proper form, and overall good health I've gained. It's been a 10/10 experience, and I recommend ShakaPT to everyone!"

Katy Gilmore

Welcome to ShakaPT!

Become the best version of yourself

Comprehensive Lifestyle and Wellness Questionnaire New

The power of training

Expert Trainers

Unlimited Access

Online Support

community favorites

Circuits

Strength Training

Cardio and HIIT

we are ShakaPT

Our method has been tested