BioSculpt™ Personalized Health & Fitness Questionnaire

BioSculpt^™ Personalized Health & Fitness Questionnaire

What’s your primary health and fitness goal? (Check all that apply):

Lose weight and improve body compositionBuild muscle and increase strengthImprove energy levels and overall well-beingEnhance athletic performanceIncrease core stability/strengthImprove longevity and prevent diseaseOptimize hormonal balanceOptimize sleepReduce stress

How would you describe your current lifestyle?

I exercise regularly and eat a balanced diet, but I want to optimize my results.I try to stay active and eat well, but I struggle with consistency.I feel like I’m doing everything right and am not seeing results.I need a fresh start – I’m ready to prioritize my health and body.

Have you experienced any of the following challenges? (Check all that apply):

Stubborn fat that won’t budge despite diet and exerciseMuscle loss or difficulty building muscleLow energy or frequent fatiguePoor sleepTrouble recovering after workoutsHormonal imbalancesJoint pain or mobility limitationsDifficulty maintaining a healthy weight

How committed are you to making changes to improve your health and body?

100% ready – just tell me what to do!Motivated, but I need guidance and accountability.Curious, but I need to learn more before committing.

Do you have a family history or personal history of type 2 diabetes?

YesNo

Do you have a family history or personal history of cardiovascular disease?

YesNo

What is your preferred way to train or improve your health?

Solo – I like working independently with a structured plan.With guidance – I want expert support and accountability.A mix – I like some structure but also want flexibility.

What are your top priorities? List top 3 things you wish you could improve about your health or body today.

Hit Submit and Get Ready to Transform!

Our team will review your responses to determine the best BioSculpt™ program for you. We’ll reach out to schedule your personalized consultation so you can take the next step toward your strongest, healthiest self!

I consent to receiving text messages and other correspondence from BelleSante*

*By entering your phone number, you are agreeing to receive text messages from us. Message rates may apply. Message frequency may vary. You can reply STOP to opt-out. Please read our Privacy Policy and Terms of Use for more information.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

BioSculpt™ by BelleSante

Hit Submit and Get Ready to Transform!

BioSculpt^™ Personalized Health & Fitness Questionnaire