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First Name
*
Last Name
*
Email
*
Phone
*
Current Age
*
Height (cm)
*
Weight (kg)
*
What Is Your Main Goal For Changing Your Nutrition?
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Lose Fat
Improve Athletic Performance
Build Lean Muscle
Improve Overall Health + Habits
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Outline A Regular Day Of Eating
*
Describe Your Daily Activity (exercise excluded)
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Very Light - Sedentary
Light - Office Work
Moderate - On Feet 50 % of Day
Heavy - On The Tools, Dr/Nurse, Full-Time Parent
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Describe Your Weekly Workouts
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Light (15 - 30 mins)
Moderate (45 mins - 1 hour)
Intense (90 mins)
Very Intense (90 mins - 3 hours)
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How Many Training Sessions A Week?
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1-3 times
3-5 times
6 + times
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Do You Have Experience Tracking Your Intake?
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Yes
No
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