Pre-Nutrition Coaching Form
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Email *
Name *
Height *
Weight *
What are your health and fitness goals? (ex. general health, lose weight, gain lean muscle, improve bone health, performance etc...) *
Please list your typical day of eating (time, what foods, amount) *
Please list any supplements you are taking (be as specific as possible) *
Please list any foods you do not like to eat *
How often do you eat out at restaurants per week ? *
How many alcoholic drinks do you consume per week? 1 beer = 1 drink, 1 shot of liquor = 1 drink
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List your biggest weaknesses (if any) when it comes to nutrition... *
What are your thoughts  on food tracking/journal?
*
Anything else we should know when it comes to your nutrition and goals?
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