Form cover
Page 1 of 1

YOUR PERSONALISED 26-WEEK SMART-CORE PLAN

Stabilisation → Momentum → Adjustment → Refinement → Transition

ALL QUESTIONS REQUIRE AT LEAST ONE ANSWER
SMART-CORE works best when answers reflect your current lifestyle, not your ideal behaviour.

1. Age ?

2. Biological sex at birth?

2. Biological sex at birth?

3. Height (Feet or cm)?

4. Weight (Stones or kg) ?

5. Waist Measurement (Inches or cm) ?

6. Primary Goal ?

6. Primary Goal ?

7. Diabetes status ?

7. Diabetes status ?

8. High blood Pressure ?

8. High blood Pressure ?

9. Thyroid disorder ?

9. Thyroid disorder ?

10. PCOS / hormonal imbalance ?

10. PCOS / hormonal imbalance ?

11. Gastrointestinal disorder ?

11. Gastrointestinal disorder ?

12. Persistent hunger ?

12. Persistent hunger ?

13. History of weight gain ?

13. History of weight gain ?

14. History of eating disorder ?

14. History of eating disorder ?

15. Body Composition Category ? (Select the closest visual match)

15. Body Composition Category ? (Select the closest visual match)

16. Resting heart rate ?

16. Resting heart rate ?

17. Average daily steps ?

17. Average daily steps ?

18. Energy crashes ?

18. Energy crashes ?

19. Wake refreshed ?

19. Wake refreshed ?

20. Resistance training per week ?

20. Resistance training per week ?

21. Cardio sessions per week ?

21. Cardio sessions per week ?

22. Occupational activity ?

22. Occupational activity ?

23. Training for specific event ?

23. Training for specific event ?

24. Track workouts (Road running) ?

24. Track workouts (Road running) ?

25. Diet style preference ?

25. Diet style preference ?

26. Meals per day ?

26. Meals per day ?

27. Snack between meals ?

27. Snack between meals ?

28. Alcohol units per week (1 unit ≈ 10g alcohol) ?
(≈ small glass wine, single spirit, or half pint standard beer)

28. Alcohol units per week (1 unit ≈ 10g alcohol) ? (≈ small glass wine, single spirit, or half pint standard beer)

29. Sugary drink servings per week ? (1 serving ≈ 330ml / 12oz)

29. Sugary drink servings per week ? (1 serving ≈ 330ml / 12oz)

30. Ultra-processed food servings per week ?
(1 serving = packaged snack/ready meal/fast food portion)

30. Ultra-processed food servings per week ? (1 serving = packaged snack/ready meal/fast food portion)

31. Smoking / nicotine use ?

31. Smoking / nicotine use ?

32. Recreational drug use ?

32. Recreational drug use ?

33. Work schedule ?

33. Work schedule ?

34. Chronic pain or injury affecting activity ?

34. Chronic pain or injury affecting activity ?

35. (For Females) — Hormonal / reproductive status (if applicable) ?

35. (For Females) — Hormonal / reproductive status (if applicable) ?

36. (For Females) — Current reproductive status ?

36. (For Females) — Current reproductive status ?

37. Current medications (Select all that apply) ?

37. Current medications (Select all that apply) ?

38. Dietary supplements currently taken (Select all that apply) ?

38. Dietary supplements currently taken (Select all that apply) ?

39. Recent blood test results relevant to metabolism (if known - Select all that apply) ?

39. Recent blood test results relevant to metabolism (if known - Select all that apply) ?

40. Family history of metabolic conditions (select all that apply) ?

40. Family history of metabolic conditions (select all that apply) ?

41. Average sleep duration per night ?

41. Average sleep duration per night ?

42. Sleep quality ?

42. Sleep quality ?

43. Current stress level (self-rated) ?

43. Current stress level (self-rated) ?

44. Emotional eating frequency ?

44. Emotional eating frequency ?

45. Main triggers for overeating (if applicable) ?

45. Main triggers for overeating (if applicable) ?

46. Past diet consistency ?

46. Past diet consistency ?

47. Biggest barrier to consistency ?

47. Biggest barrier to consistency ?

48. Commitment level right now (self-rated) ?

48. Commitment level right now (self-rated) ?

49. Readiness for change (self-rated) ?

49. Readiness for change (self-rated) ?

50. Caffeine intake per day (all sources combined) ?

50. Caffeine intake per day (all sources combined) ?

51. Typical caffeine timing ?

51. Typical caffeine timing ?

52. Main sources of caffeine (select all that apply) ?

52. Main sources of caffeine (select all that apply) ?

53. Living situation ?

53. Living situation ?

54. Do other people influence your meals?

54. Do other people influence your meals?

55. Diet structure preference?

55. Diet structure preference?

56. Current calorie or macro tracking ?

56. Current calorie or macro tracking ?

57. Past diet approaches attempted (select all that apply) ?

57. Past diet approaches attempted (select all that apply) ?

58. Past diet results (select all that apply) ?

58. Past diet results (select all that apply) ?

59. Typical daily water / fluid intake ?

59. Typical daily water / fluid intake ?

60. Typical vegetable intake per day (excluding potatoes) ?

60. Typical vegetable intake per day (excluding potatoes) ?

61. Typical fruit intake per day ?

61. Typical fruit intake per day ?

62. Food allergies (immune reaction) ?

62. Food allergies (immune reaction) ?

63. Food intolerances or digestive sensitivities ?

63. Food intolerances or digestive sensitivities ?

64. Typical fibre intake from foods?

64. Typical fibre intake from foods?

65. Bloating after meals?

65. Bloating after meals?

66. Typical bowel movement frequency?

66. Typical bowel movement frequency?

67. Weekly grocery shopping frequency?

67. Weekly grocery shopping frequency?

68. Weekly food budget for groceries?

68. Weekly food budget for groceries?

69. Cooking skill level?

69. Cooking skill level?

70. Time available for meal preparation during weekdays?

70. Time available for meal preparation during weekdays?

71. Typical eating environment?

71. Typical eating environment?

72. Access to fresh foods (fruit, vegetables, whole foods)?

72. Access to fresh foods (fruit, vegetables, whole foods)?

73. Kitchen equipment available for cooking?

73. Kitchen equipment available for cooking?

74. Ability to prepare meals during weekdays?

74. Ability to prepare meals during weekdays?

75. Ability to prepare meals on weekends?

75. Ability to prepare meals on weekends?

76. Frequency of deli, restaurant or takeaway meals?

76. Frequency of deli, restaurant or takeaway meals?

77. Frequency of social eating events?

77. Frequency of social eating events?

78. Frequency of travel disrupting your eating routine?

78. Frequency of travel disrupting your eating routine?

79. Typical eating schedule regularity?

79. Typical eating schedule regularity?

80. Poultry (chicken, turkey)?

80. Poultry (chicken, turkey)?

81. Red meat (beef, lamb, pork)?

81. Red meat (beef, lamb, pork)?

82. Fish and seafood?

82. Fish and seafood?

83. Eggs?

83. Eggs?

84. Dairy products?

84. Dairy products?

85. Plant-based proteins (beans, lentils, tofu, tempeh)?

85. Plant-based proteins (beans, lentils, tofu, tempeh)?

86. Grain-based carbohydrates (rice, oats, pasta)?

86. Grain-based carbohydrates (rice, oats, pasta)?

87. Root vegetables (potatoes, sweet potatoes)?

87. Root vegetables (potatoes, sweet potatoes)?

88. Fruit intake preference?

88. Fruit intake preference?

89. White bread and refined grain bread products?

89. White bread and refined grain bread products?

90. Pasta and refined grain meals?

90. Pasta and refined grain meals?

91. Breakfast cereals (refined or packaged)?

91. Breakfast cereals (refined or packaged)?

92. Sugary foods (cakes, pastries, sweets)?

92. Sugary foods (cakes, pastries, sweets)?

93. Chocolate and confectionery products?

93. Chocolate and confectionery products?

94. Fried foods (chips, fried takeaway foods)?

94. Fried foods (chips, fried takeaway foods)?

95. Cooking oils and added fats?

95. Cooking oils and added fats?

96. Nuts and seeds?

96. Nuts and seeds?

97. Avocado and whole-food fats?

97. Avocado and whole-food fats?

98. Coconut products (coconut oil, coconut milk etc.)?

98. Coconut products (coconut oil, coconut milk etc.)?

99. Where are most weekday meals eaten?

99. Where are most weekday meals eaten?

100. Who usually prepares weekday meals?

100. Who usually prepares weekday meals?

101. Access to food preparation facilities during the day?

101. Access to food preparation facilities during the day?

102. Ability to store prepared meals (fridge/freezer)?

102. Ability to store prepared meals (fridge/freezer)?

103. Main reason previous diets did not work (if applicable)?

103. Main reason previous diets did not work (if applicable)?

104. What helps you stay consistent with nutrition?

104. What helps you stay consistent with nutrition?

105. Preferred way to track progress?

105. Preferred way to track progress?

106. Comfort with adjusting diet over time?

106. Comfort with adjusting diet over time?

107. Accuracy of estimating food intake?

107. Accuracy of estimating food intake?

108. Current awareness of calorie intake?

108. Current awareness of calorie intake?

109. Current weight trend over the last 3 months?

109. Current weight trend over the last 3 months?

110. Typical daily protein intake estimate?

110. Typical daily protein intake estimate?

111. Stool consistency (Bristol scale)?

111. Stool consistency (Bristol scale)?

112. Estimated salt / sodium intake from food?

112. Estimated salt / sodium intake from food?

113. Recovery tracking using wearable devices HRV (heart rate variability)?

113. Recovery tracking using wearable devices HRV (heart rate variability)?

114. Male hormone health indicators (if applicable)?

114. Male hormone health indicators (if applicable)?

115. Cultural or traditional cuisine patterns?

115. Cultural or traditional cuisine patterns?

Final Acknowledgement

Final Acknowledgement

Email address

Name to appear on report