Name *

First Name

Last Name

What is your MAIN goal? *

Lose weight

Lose fat while maintaining muscle

Develop healthy habits & learn about weight management

Build muscle

Something else

On average, how many calories are you consuming a day? *

Less than 1500

1500-1700

1700-2000

More than 2000

How many "diets" have you done in the past 5 years? *

This includes anytime you have restricted or removed certain foods, reduced calories or food volume.

N/A

1-2

3-5

I'm always on a diet

When was your last diet? *

Over 1 year ago

6-12 months ago

Within the past 6 months

I'm always on a diet

Do you constantly feel tired, irritable, unable to increase weight or struggle during your workouts? *

All the time

Occasionally

Never

What are your current hunger levels like? *

Perfectly satiated

Sometimes hungry

I'm a late night snacker

Always hungry

How active are you? *

Not very active

I workout a few days a week, mostly light movement

I workout 3-4x/week

I workout 4-5x/week

I workout 5+x/week

Have you counted macros before? *

YES

NO

Are you currently counting macros? *

Yes

No

What kind of coaching are you interested in? *

I'm looking for a deep dive into my nutritional and dieting history, and ongoing accountability.

I'm self motivated, but need help getting started.

I'm an experienced macro tracker and would like updated numbers for my current phase.

I have no idea where to start but I'm ready to make a change!

Are you interested in scheduling a complimentary 15 minute call to learn more about which macro phase is right for you? *

YES PLEASE!

Not right now