Nutritional Consultation Form
Name and Email
Your answer
Age
Your answer
Weight
Your answer
Reasonable Goal Weight
(If you have one)
Your answer
Body Fat Percentage
(If you know it)
Your answer
Current Macros
(If you have them)
Your answer
Dieting History
Be as SPECIFIC as possible!
Your answer
Describe your current workout routine as specifically as possible.
What type of exercise do you do, how many days per week do you exercise, how long (minutes or hours) do you spend exercising each day? Again, be as specific as possible.
Your answer
Do you have any health or physical limitations? Please explain if so.
Your answer
Describe your lifestyle.
How busy are you during the day? Are you constantly moving, sitting at a desk, taking care of a two-year-old? How active are you outside of the gym?
Your answer
Describe your health and fitness goals.
Your answer
Which consultation are you interested in?
Did a current client or a Strong Figure Ambassador refer you?
Name of person who referred you
Your answer
Do you have a group (two or more people) interested in nutritional coaching?
We can provide group or business discounts.
For an additional $50, are you interested in a customized 4-week workout routine?
Questions or Comments that may help us help you:
Your answer
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