Tell Us a Little About Yourself Step 1 of 5 20% Name(Required) First Last Email(Required) Phone(Required)Age(Required) Height (Ex. 5'10 or 177cm)(Required) Weight (Ex. 180 lbs or 81kg)(Required) Training Program Most Interested In(Required)$879 (5 months)$599 (3 months)Medical/Health History or Medications That I Should Be Aware Of(Required) N/A if nothing appliesWhat's Your Primary Fitness Goals?(Required)Please leave me a brief detailed description Do you have any food allergies or medically diagnosed intolerances? If yes, please list:(Required) Do you take any vitamin/mineral/herbal/sports supplements? If yes, please list:(Required) Do you smoke? If so, how often:(Required) Do you drink? If so, how often:(Required) Rate your daily stress levels(Required)1. Not stress at all23456789101- No stress at all while 10-Extremely stressed On average, how many hours per night do you sleep?(Required) How many meals a day do you typically eat:(Required) Any foods that you avoid or do not like?(Required) Have you ever tried to lose or gain weight in the past? If yes, please describe:(Required) *Mention diets you've tried *Ex. Keto, Paleo, Fasting, etc.Do you consume caffeinated beverages on a regular basis?(Required) Energy Drinks Coffee Soda Select AllCurrent Occupation:(Required) Current Physical Activity:(Required) Sedentary (little or no exercise) Lightly active (light exercise/sports 1-3 days/week) Moderately active (moderate exercise/sports 3-5 days/week) Very active (hard exercise/sports 6-7 days a week) How confident are you in your ability to improve your nutrition habits?(Required)1. Not Confident at All2345678910 Extremely Confident1-Lowest 10-HighestWhat is your time zone? (ex. EST, PST, MST)(Required) Best form of Contact?(Required) Text Message Phone call Whatsapp Zoom E-mail
