Group Coaching Intake Form

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Intake Assessment

This intake form will help us to create your personalized nutrition and training plan

Personal Information

First Name

Last Name

Email *

Phone *

Assessment Details

Date of birth

Weight - (measurement)

Height

Goals (Fat Loss, Muscle Gain, Improved Health)

Will you be following our workout plan?

How many days per week will you commit to strength training?

Activity level

Have you been consuming 1200 calories or less in the past 6 months (if so, please let us know for how long)

Please give us a detailed explanation of your current eating habits and what you think you do well and what you think you struggle with the most

How would you describe your quality and quantity of sleep on average?

Do you currently meal prep or plan any of your meals for the week? Do you enjoy cooking, meal prepping/ planning?

Do you have any health concerns or hormonal concerns that you would like your coach to know about?

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

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