Metabolic Reboot HOMEWORK
This is the first and MOST IMPORTANT step towards your goals because it helps us understand where you are now, so we can provide a personalized prescription (plan) that gets you where you want to go with speed and certainty.
Full Name
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First Name
Last Name
Best Contact Number
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Format: (000) 000-0000.
E-mail
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example@example.com
So that we can best serve you, share WHY you are looking at starting the Nutrition Reboot?
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What SPECIFICALLY do you want to accomplish with your health and fitness in the Nutrition Reboot? What are your goals? Write down at least 3 SPECIFIC goals you'd like to see happen over the next few weeks.
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If we are having this conversation 12 months from now and you were looking back at your progress, what has to have happened with your health and fitness for you to be happy with you progress? What are at least 3 some specific Long-term goals you have?
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If one of your goals is weight loss, how many pounds would you like to lose long-term?
5-15 pounds
15-30 pounds
30-50 pounds
50-100 pounds
100+ pounds
Why are these goals important to you? What is your SO THAT? (Example ...I want to lose 15 pounds So THAT I can fit into my clothes again. I want to get healthy SO THAT I can get off my medications. I want to have energy SO THAT I feel like doing the things I want to do when I get home from work, etc ). Write your top 3 So That's (reasons why you want to achieve your goals).
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How many days a week do you have a well-balanced breakfast?
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ZERO
1 time a week
2-4 times a week
5 or more times a week
Other
How many times a week do you eat out?
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I rarely eat out
1 time a week
2-4 times a week
5 or more times a week
Other
Do you currently drink 1/2 or body weight in ounces of water a day?
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Never
1-2 times a week
3-5 times a week
Yes
Other
How often do you currently drink coke (any type), coffee or energy drink each day to help get you through the day?
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Never
1-2 times a week
3-5 times a week
At least once a day
Multiple times a day. I'm a caffeineaholic
Other
What do you feel is the biggest thing standing in your way of becoming the best version of you? What has been your "achilles heel" when it comes to having the body and health you most want to have?
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Submit
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