Metabolic Assessment
Fill out the form below and send me a message once you submit it. I'll analyze your data and reach out to you with some advice and guidance
First Name
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Last Name
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Email
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Phone
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Age
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Current Bodyweight
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Height
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What are your Fitness Goals? Fat Loss? Build Muscle? Give me all the deets! Be as specific as Possible
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Do you have any particular obstacles or challenges you’re facing with achieving these goals?
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How many meals do you normally eat each day?
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How would you rate your food quality on a scale of 1-10?
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How many calories do you aim for daily?
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How would you rate your protein intake on a scale of 1-10? (1 being hardly eating any, 10 eating 1g/lb of your goal weight daily)
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How is your digestion overall? How often are your bowel movements? Do you experience bloating or discomfort?
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How many and what diets have you tried in the last 3-5 years?
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How much caffeine are you consuming daily?
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How physically active are you?
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Are you currently following a workout plan? If so, what are you doing
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On average, how many hours of sleep do you get each night?
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6 hours or less
7 hours or less
8 hours or less
8+ hours
How would you rate the quality of your sleep, on a scale of 1-10?
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How would you rate your energy levels on a scale of 1-10?
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How would you rate your stress levels on a scale of 1-10?
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How do you cope with stress in your life?
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Any other health-related issues I need to know about? Allergies, diet preferences, injuries, hormonal imbalances, etc
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Have you ever considered working with me as your 1:1 Coach? (No right or wrong answer here!)
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What Services are you interested in? Click all that apply
In Person Training
Nutrition Coaching
Custom Workout Programming
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