Onboarding - Andres Preschel

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Disclaimer(Required)

Andres Preschel strongly recommends that you consult with your physician before beginning any exercise program. You should be in good hysical condition and be able to participate in the exercise.

Andres Preschel is not a licensed medical care provider and represents that it has no expertise in diagnosing, examining, or treating medical conditions of any kind.

The information contained in my blog, e-mails, programs, services and/or products is for educational and informational purposes only, and is made available to you as self-help tools for your own use. While Andres Preschel draws on prior professional expertise and background in many areas, you acknowledge that he is supporting you in his roles exclusively as an Exercise Physiologist.

Each individual’s health, fitness, and nutrition success depends on his or her background, dedication, desire, and motivation. As with any health-related program or service, your results may vary, and will be based on many variables, including but not limited to, your individual capacity, life experience, unique health and genetic profile, starting point, expertise, and level of commitment.

If this disclaimer scared you or dissuaded you from taking action then my information, products and services are not for you. However, if this disclaimer inspired you to step up to the plate and make an honest effort at working with me and the solutions I offer – congratulations! I look forward to working with you!

By using the blog, e-mails, or any of Andres Preschel’s programs or services, you implicitly signify your agreement to all parts of the above disclaimer.

I have read and hereby acknowledge this disclaimer and have read, understood, and completed the PAR Q form.

I agree to all of the above

Signature

Personal Details

Name

First Last

Enter Email Confirm Email

Phone

Gender

Age

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Select Coaching Plan

If applicable, please enter your referral code.

Occupation Information

Please describe your career/occupation

Please describe daily responsibilities according to occupation. The better we understand your workflow, the better we can design a program that will optimize your performance within and beyond work schedules. *Example answers: back-to-back meetings on Zoom, mostly in person meetings, sitting for hours on end, have to be extremely focused and attentive to detail, mostly leading teams/employees, giving lectures and presentations, etc

Your Schedule

Working Days Per Week

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Highly varied/contingent on the week

Other

Please write here

Your Schedule

Average Daily Hours Spent Working

1-2hrs

3-5hrs

6-8hrs

9-11hrs

12+

other

Please mention

Do you consider yourself very organized?

Yes

Sometimes

Do you find it easy to stay organized?

Yes

Sometimes

Do you have trouble focusing?

Yes

Sometimes

Other

Please describe

Are colleagues and/or employees frequently frustrated with you?

Yes

Why may this be the case?

Are you looking to improve your performance at work or with your team?

Communication

Time management

Empathy

Organization

Focus and staying on task

Managing stress

Eliciting flow states

Other

Please mention

Metrics

Please have a scale and tape measure ready. It is VERY important that we have these metrics.

What measuring tools do you have at your disposal? For weight scales, please specify brand make and model. For tape measure, specify unit of measurement. If entirely unfamiliar, please leave blank.

Height (feet and inches)

Weight (pounds)

Please enter a number from 10 to 999.

Metrics

Please have a scale and tape measure ready. It is VERY important that we have these metrics.

Waist Circumference * Measure between the space just below your rib and above your hip bone, usually just above your belly button.

Hip Circumference * Measure the distance around the largest part of your hips, the widest part of your buttocks.

Body Fat Percentage (if available, leave blank or skip otherwise)

Past Medical History

Have you ever been hospitalized?

Yes

Why? For how long?

Do you have an existing medical condition?

Yes

Which one(s)?

Are you taking any medication/supplements?

Yes

Which one(s)?

Do you suffer from allergies?

Yes

Which one(s)?

Have you ever undergone surgery?

Yes

Which, and for what reason?

Do you suffer from any disability?

Yes

Which one(s)?

What are some wellness therapies you've previously or are currently partaking in?

Acupuncture

Massage therapy

Physical therapy

Cryotherapy

Sauna

Cosmetics

Enema

Cleanses

Detoxes

Other

Other wellness therapies

Social History/Habits

Do you meditate or do yoga?

Yes

Sometimes

On average, how many hours do you spend in bed each night?

Please enter a number from 0 to 24.

Which of the following describe your sleep?

Consistent (number of hours)

Inconsistent (number of hours)

Trouble falling asleep

Trouble getting out of bed

Trouble staying asleep

Often waking up tired

Often waking up rested

Do you drink coffee/use caffeine?

Yes

Please describe source, quantity, time of day, and frequency of use.

Do you smoke?

Yes

Please describe source, quantity, and frequency of use.

Have you ever smoked?

Yes

How long ago did you smoke?

What variety did you smoke?

How many units did you smoke per day?

Do you drink alcohol?

Yes

Please describe source, quantity, and frequency of use.

Do you use recreational drugs?

Yes

Please specify type and frequency.

On a scale from 0 to 10 rate your general level of happiness.

0	1	2	3	4	5	6	7	8	9	10

(0 meaning none)

On a scale from 0 to 10 (0 meaning none) rate your general level of stress.

0	1	2	3	4	5	6	7	8	9	10

(0 meaning none)

On a scale from 0 to 10 (0 meaning none) rate your general level of anxiety.

0	1	2	3	4	5	6	7	8	9	10

(0 meaning none)

On a scale from 0 to 10 (0 meaning none) rate your general level of depression.

0	1	2	3	4	5	6	7	8	9	10

(0 meaning none)

Goals

Tell us what you want and expect to accomplish with this program.

Be Healthier

Feel Healthier

Lose Fat

Gain Muscle

Lower Anxiety

Boost Confidence

Boost Libido

Increase Productivity

Increase Mindfulness

Improve Sleep

Support Gut Health

Biohack My Life

Promote Longevity and Prevent Disease

Be More Mindful

Be More Sustainable/Eco-Friendly

Transition to Clean Household Products/Cosmetics

Improve and Support Memory

Optimize Workflow

Discover Work-Life Balance/Integration

Improve Posture

Enhance Flexibility and Range of Motion

Master Stress Management

Understand How to Listen to My Body

Other

Please describe

What are some wellness therapies you look forward to partaking/including in your day-to-day or weekly as a lifestyle? Please be sure to tell us why. Leave blank if you are unsure or want to leave this entirely up to us.

In 3 sentences or less, what does being healthy mean to you?

In 1-3 sentences, please tell us what you want to gain from this program.

Is there an initial deadline for these goals?

Nutritional Information

When do you typically eat? Please take your time to discuss your eating habits in detail, and try your best to specify frequency, time of day, inconsistencies if they are present, etc.

Have you done ANY food sensitivity, gut microbiome, or genetic testing in the past?

Yes

Please specify

What kind of instruction do you typically provide to private chefs? What kind of information, preferences, and detail do you share with them? Are macro and micronutrients of consideration according to your health and fitness goals? Please specify.

How often do you eat “on-the-go”? i.e. during work, while standing, while driving, etc…

Always	Often	Sometimes	Rarely	Never

Can you provide an estimate of your daily caloric intake?

Do you have, or have you ever had an eating disorder?

Yes

Please describe

Do you have any dietary restrictions due to religious beliefs, personal, beliefs, culture, or otherwise?

Yes

Please describe

Are there any foods you can’t live without?

Yes

Please describe

Do your eating habits change in stressful or emotional times?

Yes

Please specify (increase, decrease, additional comments)

Physical Activity

Please provide a list of current sports/physical activities as well as those you may be interested in partaking in.

What would you consider your fitness experience level?

Beginner	Intermediate	Advanced	Athlete

Your current VO2max (if available, leave blank or skip otherwise)

How active are you?

I sit around all day	I walk around here and there	I exercise once in a while	I exercise regularly	I am very active	I'm an athlete

Does your current job require physical activity?

Yes

Does your current job require you to sit at a desk?

Yes

Do you have any previous physical injuries?

Yes

Maybe

Please describe

Tell us more

What wellness therapies do you currently partake in / would like to potentially partake in such as massage, physical therapy, accupuncture, cupping, facials, etc?

Specificity is encouraged (E.g. What kinds of massage? Physical therapy / Accupunture for what areas and concerns?)

Is there anything that hasn't been covered that you would like us to know? Are there any other personal details you felt should be included?

How do you feel about embarking on this journey with us? We’re pumped! Thank you for taking the time to fill out all the details!

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