Custom Macro Assessment

Welcome! If you would like a personalized macro assessment completed by me with special consideration to your individualized history and goals, please fill out the form completely with as much detail as possible. These questions will help me determine where you currently are, your dieting history, current goals & habits, as well as a number of other individual factors that will help me best determine appropriate macros for you and then set you up with the best game plan for you to be successful! These one time macro counts are perfect for people who want some guidance in hitting their goals with macros but are unable to fully committ to 1:1 coaching.

Each assessment is $100 and will include the following:

- a custom macro assessment for your goals with personalized recommendations on your diet & exercise

- a macro guide/manual with more information on macros, what they are & each phase of nutrition

- a grocery guide

PLEASE NOTE: If you are unaware of how many calories you are currently eating, I highly recommend tracking for 7-10 days to get a better idea of how much you are eating BEFORE moving forward with this form. Your current calories and habits are very important to consider when setting new macros for the best plan moving forward. In order for you to be the most successful with your macro count, your current eating habits matter. There is chance that you may need a reverse diet prior to receiving these numbers if you have a long history of undereating or dieting.

ALL SALES ARE FINAL

Upon completing this assessement you will receive an email within 2-3 business days with your macro count and macro guides!

Name

First NameLast Name

Email

example@example.com

Age

Gender

Height (inches)

Weight (lbs)

Do you have any underlying or current health conditions?

Are you currently pregnant, nursing, or trying to conceive? Are you postpartum? If so, how many months?

Current Activity Level

SEDENTARY- no workout outs whatsoever + less than 5k steps a dayLIGHT ACTIVITY- 1-2 workouts per week + 7-10k steps a day OR no workouts but 10-12k steps a dayMODERATE ACTIVITY- 3 workouts per week + 7-8k steps a day OR 4-5 workouts per week + 5-6k steps up to 12k a dayHEAVY ACTIVITY- 6 workouts per week + 10k+ steps a day OR 5 workouts per week + 15K steps a day

Outside of exercise what does a typical day look like for you? What do you do for work?

What is your average number of steps per day?

Tell me about your current workout routine. Are you strength training, HIIT, doing cardio etc? How long are your workouts? Please provide as much detail here!

What do your current eating habits look like? What does a typical day look like of eating during the weeks as well as eating on the weekends? How adherent are you to these habits? The more detail the better!

What does the last 3-5 years look like in terms of your diet history? Have you spent anytime dieting for weight loss, if so how long? Have you spent any time maintaining your current weight? (i.e. not in a weight loss phase) Do you feel as though you are always trying to lose weight?

Are you currently tracking macros or calories? If so, please provide your current macros/calories and how long you have been tracking them.

What is your primary goal at the moment? Please choose one that best suits you at the moment.

fat loss- fat loss while minimizing any muscle lossmaintenance- set maintenance calories with optimal macros to increase strength + muscle mass while maintaining weightlean bulk- increase in muscle mass and strength

What do you hope to achieve with this macro count? Tell me a little bit about your goals!

Anything else I should know?

My Products*

Custom Macro Assessmentone time custom macro assessment

$100.00 Quantity

Total

$0.00

Payment Methods

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CUSTOM MACRO ASSESSMENT

BASIC INFORMATION

CURRENT ACTIVITY

CURRENT NUTRITION