Nutrition & Mindset
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Are you actively working with a coach?
No
Yes
You're my coach
I had one but I'm not longer working with them
Other
What would you say your biggest struggle with nutrition is?
Do you relate to any of these?
Emotional eater
Binge eater
Yo-yo dieter
I get bored easily
I enjoy wine and chocolate a little too much while Netflixing ;)
Are you wanting to add in exercise to this nutrition plan?
Yes
No
I am doing my own workouts
I am going to incorporate walking
Oh lord, I don't know maybe???
Would you be willing to do personal development books or podcasts?
Yes
What the heck are you talking about?
No
I don't have time
I'm currently do that
let's tackle this nutrition and mindset!
Should be Empty: