Protocol

Fill out these questions that are split into 5 stages from your vision, self awareness, movement patterns, habits and gut health

Assesment Form

Name

Phone Number

Country

Weight

Height

How did you find out about ProtocolPhoenix?

What is your main purpose behind deciding to start your PhoenixProtocol?

How would your body feel?

How physically developed would your body be?

What would be your level of health?

How much energy would you have during the day?

What activities would you do?

What is your current health status?

Do you feel exactly like you want to feel?

Do you think you could feel and perform better?

Do you want to feel and perform better?

Do you have any pains or other limitations?

Do you have any diagnosed health problem?

Name your past health problems and injuries - everything you can remember.

How long do you experience pain?

What have you done so far to get rid of this pain?

Why do you think what you tried so far did not work?

To what extent does your pain limit you right now?

How often do you have pain?

What movements cause you pain right now?

What movements are currently without pain?

What helps you alleviate pain at the moment?

How much time do you spend sitting during the day?

What time do you go to sleep and what time do you wake up?

Would you say you are experienced in physical activity?

How much energy have you invested so far into your health management?

Is there anything that could prevent you from reaching your goal?

Would you say every movement is healthy?

Do you agree with statement “Pain is OK, I am too old now”

What are your expectations of yourself?

What are your concerns?

Is there anything you have learned about your body so far?

How stressed are you on average during the day?

What does your daily diet look like?

How often do you eat per day?

What foods do you prefer?

Write down food you have eaten in the past 5 days - at least general description.

What foods make you feel good vs bad?

How much time do you spend exposed to sunlight?

How much time do you spend behind mobile/computer/TV desktop?

How much water do you drink daily?

Do you have any food allergies?

Do you have any diagnosed health problems?

Do you practice cold water immersion?

What is the one thing you are doing right now that is preventing you from feeling better and achieving your goal?

Assesment Form

Fill out these questions that are split into 5 stages from your vision, self awareness, movement patterns, habits and gut health