add body-fat% if you have that info!

Food Preferences

Please list in details what you love & enjoy to eat. Even if it does not “sound” healthy! All of your fav foods! When you get to the macro portion- select everything you currently eat and would be open to trying!
Select ALL that apply
sweet potatoes, quinoa, brown rice, tortilla…
Example: avocado, olives, cheeses, coconut oil, peanut butter..
Include beverages
Example: goat cheese, greek yogurt, oat-milk…
Example: Pakistani/Indian, Mediterranean, Asian, African…
Example: Non-alcoholic (coffee, fresh juices, tea, smoothies) & Alcoholic
Honesty please!
Cafes & Restaurants. You’ll have the opportunity to add to this list.
Select ALL that apply
Links to store website is appreciated!
For the week
Examples; Snap Kitchen, Hello Fresh
Example: Knee pain, lower back pain..etc
Click or drag files to this area to upload. You can upload up to 5 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Example: Protein powders, vitamins, prescriptions..
optional
Example; Orange Theory, Lifetime Fitness, La Fitness, Apartment Gym..
Example: Strength training 3x week, cycling 2x week, Light walking daily, or sitting in a desk all day. Goals: aim for training 3 times a week.
Example; reading a book, talking to family, praying, meditation..
Example: Apple watch, Fitbit, Amazon

Current Energy/Macro Intake (IMPORTANT)

Track 3-4 days of your intake. Preferably 2 week days, and 2 weekend days. Use the “save & resume later” button as you track days before submitting.
Example: Breakfast: 2 eggs + 1 cup cooked oatmeal + 1 banana, Lunch: brown rice pasta + 4 oz or hand size chicken breast + vegetables, Snacks: Vega protein bar
Example- Breakfast: skipped, Lunch: Burger & Fries from hopdoddy…
ANYTHING you think would help with the program design process.
Select any/all options that work best for you! Weekly calls are scheduled on the same day EACH week for 45 mins. (12 total sessions)