YOUR INFO:
First Name *
Email *
Instagram Username*
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FOOD:
How often per day do you eat? *
(This includes both meals and snacks)
Do you eat within 1-2 hours from waking up? *
How many calories do you typically consume on average? *
On these calories, are you gaining, maintaining, or losing weight? *
Do you use any kind of food tracking app to log your food? *
Please list out what a normal day of eating currently looks like. *
(No judging! The better this reflects how you've actually been eating the past few months, the better I can help you.)
Do you eat at least 30g of protein with every meal? *
On average, how many servings of fruits and vegetables do you eat per day? *
(One serving = about a fist-sized portion.)
ACTIVITY:
How often per week do you lift weights? *
How often do you train cardio? *
What’s your average daily step count? *
SLEEP & STRESS:
On average, how many hours do you sleep per night? *
Rate your stress levels. *
(1=worst, 5= best)
What do you do to manage your stress levels? *
HOW YOU FEEL:
Do you often experience energy crashes in the afternoon? *
Do you experience a lot of hunger and cravings? *
Do you often experience bloating, indigestion, or irregular bowel movements? *
YOUR GOALS:
What is your number one goal? *
How often have you tried to lose weight over the past 12 months? *
What's currently holding you back from reaching your goals? *
(Choose all that apply.)
What do YOU think needs to happen the next 30-90 days to get closer to your goal(s)? *
Any final thoughts or questions?
Would you like to learn more about Odyssey Coaching Systems' nutrition coaching services and programs? *