Do you have any medical conditions? (if yes, please explain) *

Do you have any current or past injuries that we need to be aware of? (if yes, please explain) *

Current supplements you take *

On average, about how much caffeine are you consuming per day? Cup of coffee = 100mg Shot of espresso = 50mg Diet coke (12oz can) = 40mg Pre workout = ~300mg *

Average amount of water you drink per day: *

What exercise equipment do you have access to (if any)? *

Please describe your current exercise routine in as much detail as possible *

How many times a week can you realistically workout? *

Any food allergies/intolerances we should know about? *

Time you wake up / time you go to bed *

What does a normal day of eating look like? (please be as specific as possible and include meal times if possible) *

Do you have wearables? *

Do you prefer flexibility and food choices, or do you want me to tell you exactly what to eat? *

What diets, programs, medications, or approaches have you tried in the past? What worked and what didn't? *

Current Weight: *

Goal Weight: *

Lowest Adult Weight: *

Highest Adult Weight: *

How long have you been trying to lose weight? *

How many alcoholic drinks do you consume per week? *

What type? *

Describe your work schedule and lifestyle. *

How would you rate your sleep quality? *

BadGood

How many times do you wake up per night? *

Do you feel rested when you wake up? *

How would you rate the following (1-10)?

Hunger *

BadGood

Sugar cravings *

BadGood

Evening cravings *

BadGood

Emotional eating *

BadGood

Energy levels *

BadGood

Have you had bloodwork within the last 12 months? *

Yes

If yes, please download file or email to [email protected]:

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Have you ever followed a structured strength training program before? *

Yes

If yes, please explain:

Foods you love: *

Foods you dislike: *

Foods you refuse to eat: *

Rating On a scale of 1-10, how committed are you to reaching your goal right now? *

BadGood

Why not a lower number? *

What would make it a 10? *

Food tracking preference (Choose only 1) *

Macro tracking

Food photos

Exact meal plan