Macro Count, Strategy Call, & 3 Weeks of Coaching Support
All these details will allow me to craft the best recommendations possible so please be detailed and honest! On the last page, you will pay via PayPal or Credit Card before submission! I will reach out within 5-7 days after submission to schedule our first call.
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1x Macro Count w/ Strategy Session & 3 weeks of Voxer access
Includes Getting Started Guide, Tips & Tricks Guide, and 20 minute phone call to walkthrough your macros PLUS 3 weeks of voxer access after our call so you can reach out with questions! You will have 30 days after submission to book our discussion call. No refunds will be offered.
$
387.00
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1 Month Access to the You Diet Club
Get access to the my membership community for 4 weeks during our work together. You'll be added within 72 hours of this form submission. Inside the portal is over 20+ recorded calls, my entire You Diet Method Framework, and access to Tuesday afternoon live coaching calls EVERY WEEK!
$
65.00
Name
First Name
Last Name
Email
example@example.com
Age
Current Weight (lbs)
Current Height (Inches)
5 ft tall = 60 inches, so 5'8 would be 68!
Gender
Male
Female
What is your time zone?
Please Select
Eastern
Central
Mountain
Pacific
International
Have you made any big changes to your life or habits in the last 12 months? Tell me about them if so and include if you have you lost any weight.
What is your primary goal right now?
Build Muscle
Lose Fat
Improve Athletic Performance
Conceive a baby
Have More Body Confidence
Stress Reduction
Can you tell me more about why you picked the above and any other goals on your mind?
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How many steps do you get every day?
Tell me more about your current workout routine! How many days a week do you lift weight or strength train? How many days a week (and how many minutes) do you do cardio? How intense do your workouts feel? How many rest days do you take per week?
Do you have any physical limitations I should be aware of?
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Do you know how many calories you're eating per day? Share below if so and include the macros if you track those too!
How long have you been eating the macros above?
How many meals / snacks do you have per day?
How many ounces of water do you drink daily?
Tell me about your dieting history. Have you been on a diet in the last 12 months? If so, tell me about it.
Do you take any supplements? If so, tell me which ones.
Explain 2-3 average days of eating to me, including every single snack/meal. This will help me understand a daily baseline (include one weekday and one weekend, if you find they vary)
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Do you have a significant other? Do you have any children?
Do you have a support system from friends or family, whether at home, at work or at school, to help you on this journey?
Yes!!
I think so, but I haven't checked in with them
I don't think so, but hopefully I can create one
I am doing this solo
Tell me more about your week to week schedule
How many hours of sleep do you get?
How would you rate your sleep quality?
1 - awful to 10 - amazing
How would you rate your energy levels daily?
1 - always tired to 10 - strong energy all day
How would you rate your stress levels daily?
1 - never stressed to 10 - constantly stressed
What 3 things bring you the most joy, happiness, and stress relief?
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Are you on birth control? If so, what kind and how long?
I ask because it can impact metabolism!
Do you take any other medications?
Have you ever been diagnosed with a medical condition?
Yes, PCOS
Yes, Hypothyroidism
Yes, Hyerthryroidism
Yes, Hashimoto's
Yes, Other
Nope
Anything else I should know?
Payment Methods
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