1) First and Last Name *

2) Sex *

3) Age *

4) Height *

5) Weight as of today

6) Average hours of sleep per night? *

7) Rate your sleep quality *

8) What is your PRIMARY goal? *

9) What is your SECONDARY goal? *

10) What is LEAST important? *

11) What are your short term goals - What do you want to achieve in the next 4-6 weeks?

12) What are your long term goals? *

13) Roughly how many steps do you get daily? *

14) Are you currently training consistently? *

15) How many days per week do you currently train? *

16) How many days per week do you WANT to weight train? *

17) What is your ideal duration for a workout? *

18) What type of weight training programs have you used in the past? *

19) Currently, what does your week of workouts look like? *

21) If you have any diagnosed health problems, please list them here. *

22) If you are on any medications, please list them here. *

23) Do you currently have any injuries? *

24) How would you describe your level of activity at work? *

25) What do you do for a living? *

26) Socially, describe your average weekdays *

27) What do your weekends look like? *

28) Describe your alcohol consumption. *

29) Do you prepare the majority of your meals? *

30) How many meals do you typically eat each day? *

31) Are you currently following a specific diet or nutrition plan? *

32) If so, what is the name of your diet or could you please describe it for me.

33) What is your average daily caloric intake? (If you know) *

34) Have you ever counted calories/macros before? If so, what was your experience like? *

35) If you answered NO to #35: Are you familiar with what macros are? (serious question <3)

36) 1-10 How would you rate your knowledge of nutrition *

37) Select all that would be considered a high quality source of protein--this is NOT a test...I genuinely want to meet you where you're at so we can learn together <3 *

38) How's your relationship with the scale? Do you ever weigh yourself? *

39) Have you ever had another online coach? What were some likes/dislikes? How was that experience? *

40) Have you ever had an eating disorder or thought you may have an eating disorder? *

41) Do you have any food allergies? If so, what are they? *

42) Would you rather: *

43) Please elaborate on your answer to #42 *

44) Favorite book(s)

45) Favorite movie character