Nutrition Strategy Session

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please take some time to fill out the application below. This application will give me a better understanding of your needs and I will reply with any initial thoughts and guidance to help you on your journey

Full Name *

EMAIL ADDRESS *

Phone Number *

Which method of communication works best for you? *

Text

Phone

How did you hear about my program?

What is your primary goal? NOTE: I know many of these answers may seem correct but which feels like the one you want to go after the MOST right now?

I just want to learn more about healthy eating in general.

I want to lean out/lower body composition (less than 15 pounds)

I want to lose body fat (15#-30#)

I want to body fat (30#+)

I want to build muscle (primary goal is to gain muscle, get stronger)

I want to perform my best in the gym or for sport.

I have specific health concerns and I am looking to optimize for life (hormones/gut/thyroid/etc)

Clear selection

What is your secondary goal? NOTE: This should be next on the list of importance to you.

I just want to learn more about healthy eating in general.

I want to lean out/lower body composition (less than 10 pounds)

I want to lose weight (10#-50#)

I want to lose weight (50#+)

I want to build muscle (primary goal is to gain muscle, get stronger)

I want to perform my best in the gym or for sport.

I have specific health concerns and I am looking to optimize for life (hormones/gut/thyroid/etc)

Clear selection

On a scale of 1-10, how important is your goal to you? *

Not even a thought!

Tell me what to do!

What is your ideal time frame for achieving this goal?

3-6 months (ideal for small tweaks/less than 15 pounds/well developed basic habits)

6-12 months (ideal for 15-25 pounds/ready for change/willing to commit and do the work)

12 or more months (ideal for those with more weight to lose/less nutritional background or more habit based changes to create initially)

Clear selection

What type of training do you do? *

I follow a structured weight training program and incorporate light cardio.

CrossFit (mostly classes for health and fitness)

CrossFit (I train to compete)

I take group fitness classes such as Orange theory/Burn Boot Camp/F45/Beachbody/etc

I follow a structured weightlifting program (oly or powerlifting)

Running/cycling or other endurance based training

I find workouts on IG/PINTEREST/ETC (more random workouts)

I compere in triathlons, running, Hyrox, etc)

Walking /Stretching

i don't currently workout

Have you ever worked with a nutrition professional in the past?

Yes

Clear selection

Are you currently following a nutrition program? *

Yes

Please list any diets or nutrition programs you have tried in the past? Notate any that were successful or that you enjoyed. *

Please check any of these that apply to you. *

I have a basic understanding of good food quality and prioritize mostly whole foods.

I have a basic understanding of calorie intake but I struggle to know how much to eat.

I have a basic understanding of macronutrients but not quite sure what is right for me.

I have used a food scale in the past and/or am currently using a food scale

I have a lot of good versus bad food beliefs that make it hard for me to be flexible.

I cook mostly at home (rarely get take out or dine out)

I currently meal prep or food prep.

I don't really have a plan to my nutrition and rely mostly on convenience.

I have no idea where to start, but I am ready to learn.

Required

If you could reflect on the things you feel are holding you back the MOST in your life from reaching your goals, what would you say would be the biggest obstacles?

WHY is your goal important to you? Be specific if possible, what makes you think that achieving this goal will improve your life?

Please feel free to share any other details that are important to you to ensure you are getting exactly what you need. *

My nutrition program options range from $250–$500 per month, depending on the level of support you need. Would this investment be comfortable for you right now? *

Yes

Maybe, I’d like to learn more

No, it’s outside my current budget

Which of these free guides can i send you over? *

How to calculate your calories and macros

Fat loss made simple guide

How to lose fat without eating less

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of fitbodyrx.com.

Does this form look suspicious? Report

Forms