Nutrition Assessment/Fitness Equipment Access

Name

First Name

Last Name

Your Nutrition Goal (what do you want?)

Describe in detail what goal you hope to reach from this coaching

How do you feel now?

Be a specific as possible. Get Real with your current situation.

What is your current height and weight?

How old are you today?

List any food allergies or sensitivities

What foods do you love

The Good and The Bad, be honest!!! No Judgement here!!

What foods do you hate?

tell me anything you absolutely won't eat. I want you to love your meal plan.

What questions do you have for me?

Please list all fitness equipment that you have access to

ex: Dumbells 5,10,20, Treadmill, peleton, TRX, med ball, Local gym membership