Please fill form out and submit. A coach will reach out to you in 24-48 hours. Name * First Name Last Name Email * Age * Current Weight * Height * What is your occupation? How did you hear about me? If you were referred, please tell me who referred you. Let's Talk Goals... What is your ultimate long term goal? * What about short term goals? These are also called "process goals".. they are goals you set to get to your long-term and often include some habit changes. Please tell me some of your process goals or habits you would either like to change or add in? Are you currently following set macros or a meal plan? If yes please provide me with your current macros. * If you have followed macros before, what were your last macro numbers and how long ago? If you do not know calorie intake then please give me some ideas of meals that you currently eat. Please give me a quick run down of your daily routine. How many times a week are you strength training? * What is your total cardio volume for the week, if any? Can you explain in detail the nature of your sessions and length of each session? * If you are a female, Are you having a consistent menstrual cycle? just leave blank if male Yes No I'm a guy If you answered no to the above question, why don't you have a menstrual cycle? Are you currently on hormone replacement therapy (HRT) or Supplement protocols? If yes, please list what you are taking * Have you had any recent blood work done? If yes, were all levels within range? * Do you have a history of any type of eating disorder? * Have you worked with a trainer / diet coach in the past. What was that experience like for you? * What did you enjoy most about the coaching experience? And what would you have changed? Have you been in a caloric surplus for any length of time? Have you spent any significant time dieting recently? Please list any supplements you are currently taking. * This includes vitamins and prescription medications. Please add any additional information for me here Thank you! By Submitting this form you are agreeing to the terms and conditions
