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Nutrition Plan

Do you have any dietary restrictions?

Yes No

If yes, please specify

Nutrition Plan

How would you describe your eating habits?

How many meals do you eat in a day?

Nutrition Plan

Do you prefer home-cooked meals or eating out?

Home-cooked meals Eating out

Nutrition Plan

Are you comfortable with meal prepping?

Yes No

Nutrition Plan

Are there any specific foods that you dislike or are allergic to?

Yes No

If yes, please specify

Nutrition Plan

Do you take any dietary supplements?

Yes No

If yes, please specify

Fitness Plan

What is your primary fitness goal?

How many days a week can you dedicate to exercising?

Fitness Plan

What time of the day do you prefer to exercise?

Health and fitness information

Have you been exercising regularly in the past 6 months?

Yes No

If yes, what type of exercises and how often?

Do you have any medical conditions or injuries we should be aware of?

Yes No

If yes, please specify

Your body height in (feet)

Your body weight in (LBS)

How many hours do you work per week?

How would you rate your current stress level from 1 to 5?

First Name

Last Name

Phone

Email

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