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Get to know your health & lifestyle priorities

12/3/2018

"Take part in our self-survey to help define the results you're looking for from a fitter you"...
Andy Payne - Three Pillars of Fitness Personal Trainer and Coach

Use the form below to measure some of your key health indicators and to set your health priorities. Please note: Using this tool does not replace the need to consult a health care professional on medical matters, but may enable you to prioritise some key areas of your lifestyle.

Please answer the questions below to set your health priorities.
You can change the rankings 1-10 to answer the questions.

Health & Lifestyle Priorities Form

I'd like to sleep better (1-10) *

I'd like to reduce my stress levels (1-10) *

I'd like to be stronger (1-10) *

I'd like to improve my body shape (1-10) *

I'd like to be able to do every day activities better (1-10) *

I'd like to lose weight *

I'd like to improve my eating/ hydration habits *

I would like to be contacted to discuss how best to meet my goals *

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Name *

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Telephone number *

Email *

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Get to know your health & lifestyle priorities

Health & Lifestyle Priorities Form

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