Full Name:
Age:
Gender:
Height:
Weight:
Email:
Phone Number:
Date of Birth:
How many steps did you take today?
What was your average stride length (if known)?
How far did you travel today (miles/kilometers)?
What type of activity contributed to this distance?
How many minutes were you actively engaged in moderate to vigorous physical activity today?
What type of activities did you do?
What types of exercise did you perform today?
How long was the duration for each exercise?
For strength training, how many sets and reps?
What was your average resting heart rate today?
What was your maximum heart rate during exercise?
How many hours of sleep did you get last night?
What time did you go to bed?
What time did you wake up?
How would you rate the quality of your sleep?
Poor
Fair
Good
Excellent
How many times did you wake up during the night?
How many calories did you burn today?
How many calories did you consume today?
What are your fitness goals? (e.g., weight loss, increased endurance, muscle gain)
What is your target daily step count?
What is your target weekly exercise duration?
How would you rate your overall fitness progress this week?
Poor
Fair
Good
Excellent
Any notes about your progress?
How many glasses/liters of water did you drink today?
How would you rate your overall mood today?
Poor
Fair
Good
Excellent
Did you experience any stress or fatigue today?
Any notes about your mental or emotional wellbeing?
Did you use any fitness apps or devices today?
Which ones?
Any other relevant information you'd like to record?
Did you have any injuries or pain today?
Form Template Instructions
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Insights into User Behavior and Needs:
Comprehensive Tracking:
Goal-Oriented Approach:
Data-Driven Decisions:
Personalized Insights:
Wellbeing Connection:
Strengths of the Template:
Versatility:
Detailed Data Collection:
Self-Awareness:
To configure an element, select it on the form.