MPF FREE 14 Day Training & Nutrition Program
Name
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First Name
Last Name
Age
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Scale Weight
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Height
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
BF % if you know it
Email
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example@example.com
What is your reason for doing this FREE 14 day program - What are you struggling with?
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Are you Beginner, Intermediate or Advanced?
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How many training sessions do you currently do?
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What do you do for work?
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How many Sessions can you realistically commit to per week? at gym or home?
Do you have any injuries? (this will need to be cleared by a Professional)
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How many steps do you do per day? (on avg)
How Many Calories do you eat per day (7 Day Average - if known)?
What is your current Macro Breakdown (if you know - look at MyFitnessPal)
Do you tend to eat more calories on the weekend?
In the past 12-24 Weeks have you been in a deficit, at maintenance or above maintenance calories?
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Do you have any history with Eating Disorders or anything we should know about?
How many times have you dieted this past year?
Aesthetically, what is your MAIN FOCUS?
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FAT LOSS
MAINTENANCE
REVERSE DIETING
BUILDING MUSCLE MASS
Performance or strength based goal?
How Important are these goals to you?
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TOP Priority, I will achieve my goals
Pretty Important but not my number 1 focus right now
Moderately important, would be nice to achieve them but other things are priority right now
Not bothered if I achieve them or not
Do you drink alcohol?
On the Weekends
A few times per week
Only for parties and occasions
Don't drink alcohol
What do you think you will need help with the most in order to reach your goals? Accountability, mindset, support around nutrition and social events, help with training etc
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How often do you eat out / order in takeaway or uber eats? incl weekends
1 x per week
2 x per week
3+ x per week
Very Rarely
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How many hours sleep do you get per night (on avg)?
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Are you experiencing high stress?
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Emotionally
Physically
Financially
Stress Levels are okay
Are Your Current Energy Levels
Low
Moderate
High
Are Your Current Hunger Levels
Low
Moderate
High
What is your Short Term Goal - 3 months? Long Term Goal 6+ months?
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Do your currently have a regular menstrual cycle? or on hormonal contraception?
Why are these Goals important to you?
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Have you gotten help from a coach or nutritionist before? If yes, How was that experience? If No, what has stopped you?
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Do you have any limiting beliefs? What is going to be the biggest obstacle that you think will get in the way from you achieving your goals?
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If you were looking to at Custom Coaching to get results, which option appeals to you most?
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Weekly Checkins, Zoom Calls, Meal Plan(optional) & Daily Voice Message Support - This is for people who want a BIG change especially for Fat Loss over 8+kgs, never tracked before or disordered eating patterns/yoyo dieting, gut issues or hormonal issues
Fortnightly Written Checkins, Macros & Flexible Dieting which is slightly less support for those who have some experience in tracking their food
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So we know when to contact you - How Ready are you to start seeing Results?
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ASAP, I'm Ready & Committed - lets go!
In 1-2 weeks, I'm busy
Not Sure yet
By Signing Below I accept to be set up in the app for the MPF 14 Day Free Trial, Added into their database & be contacted by Team MPF.
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Want to have a chat about your goals? Book a Free Goal Setting Session (YOU DON'T HAVE TO BOOK A CALL & will be added straight into the FREE Momentum Program) If you do book a free call please confirm your attendance or reschedule within 4hrs of your call as needed.
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