Welcome
How it Works
Testimonials
About
Become an Ambassador
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My Account
Welcome
How it Works
Testimonials
About
Become an Ambassador
Sign In
My Account
Personal Details
Name
*
First Name
Last Name
Your email
*
Date of birth
*
MM
DD
YYYY
Height (cm)
*
Please do not estimate this as it will effect your Club421 nutrition goals.
Weight (kg)
*
Please do not estimate this as it will effect your Club421 nutrition goals.
Gender at birth
*
Female
Male
Ethnicity
*
Different ethinic backgrounds have been linked to changes in metabolic patterns. You do not need to disclose this, but it may effect your Club421 nutrition goals.
Asian/Asian-British
Black/Black-British
Hispanic/Hispanic-British
Mixed
White/White-European
Other
Do Not Wish to Disclose
Ethnicity, if other
If you selected other, please specify. Otherwise, leave blank
Lifestyle Profile
Do any of the following apply to you?
*
I help or support someone with long term physical/mental health issues or disability I help or support someone with problems relating to old age I am currently serving, or have previously served in the military I am a new or expectant parent I am living with a physical or mental disability I am a competitive athlete I am LGBTQ+
One or more of the above apply to me
None of the above apply to me
Do you currently participate in a formal exercise program?
*
Examples of exercise programs include: Classes led by a fitness instructor, 1-1 sessions with a personal trainer, Regular visits to a commercial gym.
Yes
No
If yes, how many hours per week
Not applicable
0.5-1
1.5-3
3.5-5
5.5-7
7+
Do you currently measure your daily steps?
*
Yes
No
If yes, what is your average daily step count?
Unsure
<6k steps
6k-10k steps
10k-15k steps
15k-20k steps
20k-25k steps
25k+ steps
Health Profile
Do you have a health condition which could prevent you from participating in any form of excercise?
*
No
Yes
If yes, Please specify the condition.
You are under no obligation to answer this question.
Are you currently taking any medication which effects metabolism rate?
*
Such as but not limited to: Antidepressants Diabetes drugs Hormone therapies, including contraceptives and thyroid medication. Steroids Heart/blood pressure medication
Unsure
No
Yes
Are you the main account holder?
*
I am the main account holder
I am the plus-one buddy.
Thank you!
