Motivated Sports Academy Nutrition & Meal Plan Questionnaire

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The Motivated Sports Academy Nutrition & Meal Plan Questionnaire will give your Coach more information pertaining to your current diet and lifestyle that will assist in helping you reach your fitness and nutritional goals!

Congratulations on deciding to take control of your nutrition and health with Motivated Sports Academy! As your Coach, I am excited to motivate and inspire you on your journey of healthy eating! First, I will need to learn more about your current diet, nutrition goals, and your lifestyle to design a meal plan that will meet your exact needs. LET'S GRIND!!!

First Name *

Last Name *

Phone Number *

Email Address *

City and State *

Gender *

Female

Male

Prefer not to say

Other:

Required

Age *

Height (feet, inches) *

Weight (pounds) *

What is your current occupation? *

Describe your lifestyle activities? *

Sedentary: A lot of sitting and lying down with very little to no exercise. Sitting or lying down watching television, playing video games, or using a mobile phone/computer most of the day.

Very Light Activity: Walking around the office, shopping, working at a desk without performing any type of physical activity during your day.

Light Activity: Having a non-physical job but performing some sort of physical activity during the day that do not cause you to break a sweat or produce shortness of breath. A leisurely walk or casual bike ride.

Moderate Activity: Having a non-physical job performing some physical activity during the day and including a daily workout session in your routine.

High Activity: Having a physical demanding job and training daily or having a non-physical job and training twice-a-day.

Extreme Activity: A very physical demanding job and daily hard training.

Required

Which of the following best describes your body type? *

Ectomorph: Lean and long, with difficulty building muscle.

Endomorph: Bigger, high body fat, often pear-shaped, with a high tendency to store body fat.

Mesomorph: Muscular and well-built, with a high metabolism and responsive muscle cells.

Required

If you exercise regularly and would like meals/snacks planned to optimize your workout routine, please describe the type of workouts you do, how often, and for how long? (Ex. Strength training and cardio, 4x/week, 1hr) *

Have you followed a special diet or meal plan before? (If Yes, please explain.) *

What is your current diet/nutrition plan? *

Do you have any food allergies or intolerances? (If Yes, please explain.) *

Please list any foods you strongly dislike and do not want in your meal plan? *

Please list any foods you especially enjoy or would like to include more of in your meal plan? *

Are you willing and able to commit to give 2-3 hours towards food prep each week? *

Yes

Required

What is your biggest challenge when it comes to planning, shopping, preparing, and eating healthy food as part of your lifestyle?
*

Has a medical doctor ever diagnosed you with a chronic disease, such as a heart disease, hypertension, high cholesterol, or diabetes? (If Yes, please explain.) *

Are there any other health issues not mentioned or symptoms I should be aware of? (If Yes, please explain.) *

Are you currently taking any medication? (If Yes, please explain.) *

Describe your current stress levels *

No stress at all

Extremely stressed

How many hours of sleep do you average each night? *

How committed are you to investing in your nutrition goals and becoming the best version of yourself? *

I'm highly committed and have the financial means right now! LET'S GRIND!!!

I'm highly committed but do not have the financial means right now.

Please, select the meal plan that fits your budget and that you are willing to make a commitment to at this time. Remember, this is an investment in your FUTURE SELF! Nothing will change, until you are dedicated to make the change and STAY MOTIVATED! *

1 week (7 days) - $25

2 weeks (14 days) - $45

4 weeks (28 days) - $60

8 weeks (56 days) - $100

I am unable to invest in my future self at this time but would be interested in future fitness programs and offers.

Thank you, for taking the time to complete the Motivated Sports Academy Nutrition & Meal Plan Questionnaire! Please, share how you heard about Motivated Sports Academy? I look forward to you joining Team MSA!!! *

One of Coach Tev's Clients

Gym

Instagram

Facebook

TikTok

Other:

Required

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