Contact Information
Please provide me with the most accurate information to further help you reach your goals!
Name (First and Last)
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Gender
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Age
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Email *
Phone Number
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What is your current Weight?
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What is your height?
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Occupation
How many times have you tried to lose weight?
Current Training split and rep ranges?
On average, how much Cardio per week?
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Have you tracked your food before? If so, what did your calories/macros look like?
List all of the supplements you use
List any foods you do not like or that do not sit well with you
How many hours do you sleep at night on average?
What are your goals?
What is the most meals per day you can eat consistently? (Be honest with yourself)
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How many steps do you get per day?
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What time of day are you available to chat?
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