• NUTRITION LINK UP INITIAL ASSESSMENT

    (Facts and Future)

  • I am so excited you decided to take this incredible step to becoming a better version of yourself. I'm happyily welcome you to my community.  This is very important so for us to support your in the best way possible, so make sure you complete it.  The information will help us know more about you, your habits and your ultimate goals.  

  • PERSONAL INFORMATION

  • Format: (000) 000-0000.

  • FACTS (OLD YOU AWARENESS)

    In this section you will answer some questions about where you are today or have been. This is helping you create awareness of the Old You so we can know what we're leaving behind.
  • Your Body Metrics*
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  • Out of all the above concerns, which ones you feel are most important/urgent?*
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  • What's been getting in the way of you and your goals?

  • Below is a list of common obstacles people face in reaching their nutrition and fitness goals. Rate them on a scale of 1 to 5 *
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  • YOUR EXPECTATIONS

  • PREVIOUS ATTEMPTS

  • YOUR MOVEMENT

  • What best describes your weekly workouts? (The time you spend purposefully exercising)
  • Where would you like your workouts to be?
  • Not including workouts, how active are you each day?
  • Below is a list of common obstacles people face when trying to make changes to movement and exercise routine. Rate them on a scale of 1 to 5 *
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  • YOUR SUPPORT SYSTEM

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  • GUT HEALTH

  • How often do you have a bowel movement?*
  • Do you have any digestive complaints now?

  • TIME MANAGEMENT

  • STRESS AND RECOVERY

    Think of all the activities you are involved in (e.g. work, school, caregiving, housework, travel, etc). Then assess as best as you can.

  • YOUR SLEEP

  • YOUR READINESS TO CHANGE

    Right now, on a scale of 1 - 10 where 1 = Not at all and 10 = Completely

  • FUTURE (NEW YOU)

    This is where you paint the picture of the future and what you want to accomplish
  • In general, what are your goals? Check all that apply*
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  • WHO ARE YOU 12 MONTHS FROM NOW?

    This is the most profound questions that will help you understand what's possible for you. We want you to write everything as if it already happened?

  • LAST FUN QUESTION

  • DISCLAIMER

  • This Assessment is intended to provide information to your Coach, so that they can support you in your efforts to reach your health and fitness goal by following an eating plan and incorporating habits according to guidance and recommendations. It is not intended to diagnose or treat any medical condition or illness. For any weight management or fitness program, we recommend that if you have any medical condition, you consult your doctor before changing your diet or increasing your physical activity.

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