咨询问卷Intake questionnaire

邀请 Iris 来了解你的身体Invite Iris to get to know your body

五个部分，大约十分钟。答案会自动保存在这个浏览器里，可以随时回来继续。没有标准答案——照实写就好。Five parts, about ten minutes. Your answers save automatically in this browser, so you can come back any time. There are no right answers — just honest ones.

亲爱的你，欢迎你邀请我来了解你的身体。减脂的过程也是你更了解自己的过程，我们通过一段时间的践行和观察，重新梳理自己和身体的关系、自己和食物的关系，最终找到属于你的管理方案。
—— IrisDear you — thank you for inviting me to get to know your body. Losing fat is also the process of getting to know yourself. Over a period of practice and observation, we'll re-examine your relationship with your body and with food, and in the end find the way of managing it that belongs to you.
— Iris
开始之前Before we begin

先告诉 Iris 你是谁First, tell Iris who you are

填完这一步，我们会把「继续填写」的链接发到你的邮箱——中途离开也不会丢。Iris 也会知道你开始了，方便在微信上找到你。After this step we'll email you a "continue" link, so nothing is lost if you leave halfway. Iris will also know you've started, so she can find you on WeChat.

请填写称呼、邮箱和微信号Please fill in your name, email and WeChat ID
一 · 饮食与口味习惯Part 1 · Eating and taste habits

你平时是怎么吃的How you usually eat

1. 饮食结构属于哪一种？1. Which best describes your diet?
请选一项Please choose one
2. 每天大概吃多少绿叶蔬菜？以自己的一个拳头为衡量标准，熟蔬菜 1 个拳头大约是 100g2. How many leafy greens do you eat a day?Use your own fist as the measure — one fist of cooked vegetables is about 100g
请选一项Please choose one
3. 喜欢的蔬菜加工方式是？3. How do you prefer your vegetables prepared?
请选一项Please choose one
4. 一袋中等包装零食，从打开到吃完通常需要多久？4. A medium bag of snacks — how long from opening it to finishing it?
请选一项Please choose one
5. 早餐后多久会再次想吃东西？5. How long after breakfast do you want to eat again?
请选一项Please choose one
6. 吃饭的速度？6. How fast do you eat?
请选一项Please choose one
7. 吃饭会吃撑吗？7. Do you eat until you're stuffed?
请选一项Please choose one
二 · 作息、运动与久坐情况Part 2 · Routine, movement and sitting

你的一天是怎么过的How your day goes

1. 你每天看电视 / 电子屏幕时间？1. Daily TV / screen time?
请选一项Please choose one
2. 你每天运动时长？2. How long do you exercise each day?
请选一项Please choose one
3. 你希望每天久坐（舒服坐着）的时间？3. How much of the day would you like to spend sitting comfortably?
请选一项Please choose one
三 · 体型、家族与减肥经历Part 3 · Body, family and past attempts

你和你的身体，一路走来You and your body, so far

1. 直系亲属（父母、兄弟姐妹）中肥胖人数？1. How many immediate family members (parents, siblings) are obese?
请选一项Please choose one
2. 亲密朋友中肥胖人数？2. How many close friends are obese?
请选一项Please choose one
3. 8 岁之前你的体型？3. Your body type before age 8?
请选一项Please choose one
四 · 心理、情绪与压力Part 4 · Mind, mood and stress

你心里的那部分The part that lives inside

1. 你在意自己的外表吗？1. How much do you care about your appearance?
请选一项Please choose one
2. 你的健康意识？2. How health-conscious are you?
请选一项Please choose one
3. 你是否易焦虑？3. Do you get anxious easily?
请选一项Please choose one
4. 以下情况是否经常发生？可多选4. Do these happen often?Choose any that apply
五 · 健康、体质与身体症状Part 5 · Health, constitution and symptoms

身体想告诉你的What your body is telling you

以下身体不适情况如果有，请勾选：Tick any of these that apply:
6–11. 以下情况，是或否6–11. Yes or no
6. 是否经常手脚冰凉？6. Cold hands and feet often?
7. 指甲是否容易脆断？7. Nails that break easily?
8. 洗澡后是否明显脱发？8. Noticeable hair loss after showering?
9. 是否容易长痘？9. Prone to breakouts?
10. 傍晚是否小腿水肿？10. Swollen calves in the evening?
11. 是否腿部莫名抽筋？11. Unexplained leg cramps?
六 · 原始个人信息Part 6 · Your starting measurements

今天的身体，记一个起点Today's body — a starting point

用软尺，站直、自然呼吸，尺子贴身不勒紧。腰围量最细处和最粗处；腿围和臂围左右各量一次。Use a soft tape, stand straight, breathe normally, tape snug but not tight. Waist at both the narrowest and widest point; thighs, calves and arms measured on each side.

原始照片 — 拍摄建议Starting photos — how to take them 1. 穿浅色的衣服，尽可能露出想减脂的地方～
2. 背景干净、减少杂物，全身拍摄～
3. 可以固定手机拍一段视频，身体转四个面各定住一下，之后在视频里截图就好 [爱心]
照片不在这里上传——填完问卷后，直接发给 Iris 的微信。 1. Wear light-coloured clothes and show the areas you want to work on as much as you can
2. Clean background, no clutter, full body in frame
3. Easiest: prop the phone up, record a short video, pause facing each of four directions, then take screenshots from the video [Heart]
Photos aren't uploaded here — after finishing, send them straight to Iris on WeChat.
Together

收到了，谢谢你的坦诚Received — thank you for your honesty

Iris 会认真看完，然后在微信上和你约一次通话。记得把原始照片发给她。Iris will read it carefully, then arrange a call with you on WeChat. Remember to send her your starting photos.

Iris 亦姝 微信二维码 · WeChat QR code
微信 IrisyishuWeChat Irisyishu扫码添加，备注「评估」Scan to add, note "assessment"