Macro Coaching

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Please enter a valid phone number.
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What are you interested in?
1:1 Coaching
One Time Consultation
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What is your Instagram name? Type "N/A" if you aren't on Instagram.* This field is required.
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When is your birthday? (How old are you?)
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Have you counted macros in the past?
YESNO
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What are your health/fitness goals?* This field is required.
Lose weight
Gain weight
Maintain weight
Feel better
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What is your dieting history (What have you tried in the past? For how long?)* This field is required.
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Are you on any special diet currently? (Ex. vegetarian, no dairy, keto, etc.)
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What do you do for work? What are your typical hours?
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How tall are you?
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How much do you weigh?
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How many steps do you get (on average) each day?
0 - 3000
3000 - 6000
6000 - 9000
9000+
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Do you have any medical problems?
YESNO
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If yes, what conditions(s)? If not, type "N/A".
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What type of exercise do you get? Describe in detail. (If strength training, what kind/program and how many days per week? If cardio also, what kind and how many days per week?)* This field is required.
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What are your nutrition frustrations/road blocks?
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Do you have a "goal weight"? If so, what is it?
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How many times have you been on a diet in the past two years?
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Have you worked with a macro coach in the past?
YESNO
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What are you hoping to achieve during our 1:1 time together?
Fat loss
Create a sustainable routine
Building muscle
A mix of all of these
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I'm looking for clients who are ready to do the work it takes to become their healthiest selves. Is that you? Why?* This field is required.
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What are your hobbies?* This field is required.
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Is there anything else you'd like me to know about you?
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Were you referred by someone? If so, who? If not, type "N/A".* This field is required.
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Please note that you will be added to my email list. (You may choose to unsubscribe at any time.)
Add me to the list!No, thank you.
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How do you prefer I contact you?
Phone Call
Email
Instagram DM
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Please verify that you are human* This field is required.
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