Eat to Compete Intake Form
Please fill out this form so we can help you decide which fueling option will be best for you during our Eat to Compete session.
Name *
Your answer
email *
Your answer
Have you participated in any sort of structured eating program before? *
If you answered "YES" above, please list any programs or protocols you've done:
Your answer
For each program you've participated in, evaluate your overall success and satisfaction with each (Did it work? Was it easy? Was it a challenge? Were you able to stick with it? Etc.)
Your answer
Which is harder for you: eliminating specific foods, or limiting overall intake? *
Are there certain foods you absolutely cannot live without? (If yes, list them:)
Your answer
Do you have a food scale? *
Do you eat out socially >3 times per week? *
Do you do the majority of the grocery shopping for your household? *
How many calories does a gram of alcohol contain? (DO NOT GOOGLE IT) *
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