DR. ARK FITNESSEvidence-Based Health • Fitness • Nutrition
Section 1 of 19
Comprehensive Client Intake & Baseline Assessment
About you
Full name(mandatory)
Age(mandatory)This programme is for adults aged 18 and over.
years
Sex assigned at birth(mandatory)This changes some of the health questions we ask — nothing else.
What do you do?
Preferred language for coaching
CountryWhere you're based — helps us tailor food, culture and scheduling to you.
City
TimezoneDetected automatically from your country — no need to set it.
Select a country above and we'll detect this for you.
WhatsApp numberWe'll only use this to follow up on your assessment.
EmailOptional — we'll use this to send your plan and follow up.
Profile photoOptional.
Images or PDF, up to 10MB each. Uploaded securely for your coach to review.