Wellness Profile

We are excited to hear that you’re ready to hit your health goals!! Below you will see two different profiles: Wellness Profile and Sport Performance Wellness Profile. Select which profile you would like to fill out and click on submit to be evaluated by our fitness professional.

Please answer these questions below so that we can get an idea about what you are doing now and how we might help. *ALL FIELDS REQUIRED

WELLNESS PROFILE

*Name

Email

Phone

What time did you wake up?

What time did you eat breakfast?

What do you usually eat for breakfast?

What time do you snack of do you skip a morning snack?

What time do you eat lunch and what is your typical lunch?

Afternoon snack?

And dinner?

What time?

Do you get tired?

Throughout the day?

When?

Do you get hungry, if so, what do you crave?

What is your current weight and how tall are you?

About how much are you spending a week on groceries (for just you)?

How many times a week are you eating out?

What are you looking to accomplish?

Please indicate below, those categories that interest you: (select all that apply)
Weight Management Immune Health 
Digestive Health Heart Health 
Children's Health Energy & Fitness 
Outer Health Sports Nutrition 
Men's Health Women's Health 
Healthy Aging Stress Management 

SPORT PERFORMANCE WELLNESS PROFILE

*Name

Email

Phone

What time did you wake up?

What time did you eat breakfast?

What do you usually eat for breakfast?

What time do you snack of do you skip a morning snack?

What time do you eat lunch and what is your typical lunch?

Afternoon snack?

And dinner?

What time?

Do you get tired?

Throughout the day?

When?

Do you get hungry, if so, what do you crave?

What is your current weight and how tall are you?

About how much are you spending a week on groceries (for just you)?

How many times a week are you eating out?

How often do you workout/practice/train?

What sports / physical activities do you participate in?

How long are your workouts / practices / training sessions?

What do you eat before your workouts / practices / training sessions?

What do you usually eat after your workouts / practices / training sessions?

What are you looking to accomplish?

Please indicate below, those categories that interest you: (select all that apply)
Weight Management Immune Health 
Digestive Health Heart Health 
Children's Health Energy & Fitness 
Outer Health Sports Nutrition 
Men's Health Women's Health 
Healthy Aging Stress Management 

 

RTF Contact Information

risetotalfitness@riserockwall.com
972-772-9061

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