One Time Consultation Name * First Name Last Name Email * What is your goal? * Fat loss Muscle Gain Maintain Performance Other What is your timeline for this goal? (if any) Height What is your current bodyweight? What is your goal weight? (if different) What is your occupation? Feel free to explain your daily/weekly routine. * How would you rate your activity level? * Highly active Active Light Sedentary How willing are you to track your food? * I'm totally willing If it helps, I will Not willing at all Tracking my food does not help my mentality (Females Only*) Do you have a regular menstrual cycle? If not, please explain. Do you workout? If so, explain how many times a week, the type of training (weights, cardio, etc.) and how long you workout for. What does a typical day of eating look like for you right now? Do you have any medical conditions or take medications that affect your metabolism, digestion, or weight? What would you like to get out of this consultation? * Anything else you'd like for me to know? Thank you!