Custom Diet + Coaching plan! 💪💯
I specialize in helping SLIMMER MEN 20-35 with FAST METABOLISMS and BUSY SCHEDULES transform their lives attaining RESPECT, CONFIDENCE, FREEDOM, and 10-25 lbs of STRONG LEAN MUSCLE without spending their entire life in the kitchen or gym!
Sign-up Form
Please fill out the form below to the best of your knowledge! You will receive your custom made diet & coaching plan within 48 hours which you can access from my free app! Questions? Please email me at jordafitness@gmail.com 😃
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Age
*
Please Select
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
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35
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38
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40
41
42
43
44
45
46
47
48
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50
51
52
53
54
55
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58
59
60+
Gender
*
Please Select
Male
Female
Height
*
Weight (LB)
*
Average Daily Activity Level
*
Please Select
Not active at all
Light (Office/desk work)
Moderately
Very active
Heavy/Extremely Active
Dietary Preferences
*
Vegetarian
Vegan
Paleo
Keto
No restriction
Other
What is the most important RESULT you're trying to achieve?
*
Increase lean muscle mass
Reach the strongest version of myself
Tone/Maintain
Fat Loss
Other
What do you feel are your biggest obstacles to reaching this result? (select all that apply)
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Time (busy schedule)
Fast metabolism and inability to eat enough calories
No Social support or accountability (Motivation)
Low Confidence
Can't find the right system to implement
Finding quality value from dependable sources online
Don't know where to start
Can't find a diet that works
Other
What is the one most important thing I can do to help you reach this result?
*
List your favorite foods - Please be as thorough as possible so I can design the most fitting plan possible for you:
*
What are the foods you will not eat?
*
Any food allergies? (Ex: High lactose, all dairy, eggs, nuts, soy, gluten, fish/shellfish)
*
Do you prefer basic, simple, moderate, or complex recipes?
*
Basic recipes only (Little or no cooking involved)
Simple (5 -15 minute recipes)
Moderate (15-25 minute recipes)
High complex recipes (30-45 minute recipes)
All of the above
Do you prefer variety or more repetitiveness of recipes in your meal plan?
*
Variety
Repetitiveness
How COMMITTED are you to doing whatever it takes to achieve your goals?
*
Not Very
1
2
3
4
5
6
7
8
9
ALL IN
10
1 is Not Very, 10 is ALL IN
Have you worked with a coach/trainer in the past?
*
Yes
Never
How many hours of sleep do you average per night?
*
Are you currently taking any supplements, if so what kind? (Ex: Multivitamins, protein, fish oil, pre-workout creatine etc...)
*
Are there any specific health conditions that must be considered for your custom meal plan? If so, are you taking any medications?
*
What was the deciding factor in getting a customized diet plan with me?
*
What is a good official start date for you? (This is the day you'll begin your meal plan)
*
Anything else you'd like to add or I should know about?
Let's do this!
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