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Print this form, fill it in honestly, and bring it to your first session.
REVERE
Fitness
Nutrition & Lifestyle Assessment
Optional · 2 pages · Be as honest as possible
This assessment helps me understand your full picture — not just how you train, but how you eat, sleep, and live. There are no wrong answers. The more honest you are, the better I can tailor your programme to your actual life.
1. Current Eating Habits
1–2 3 4–5 6+
<1L 1–2L 2–3L 3L+
Never Sometimes Always
No specific approach — eat what I like
High protein focus
Low carb / ketogenic
Vegetarian / vegan
Intermittent fasting
Other (specify below)
2. Nutrition Challenges
I find it difficult to eat consistently throughout the day
1
2
3
4
5
I struggle with emotional or stress eating
1
2
3
4
5
I find it hard to eat enough protein
1
2
3
4
5
I often skip meals due to a busy schedule
1
2
3
4
5
1 = Never · 5 = Very often
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