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Program Initial Intake

Please answer these questions to the best of your ability. We will use this information to send you the appropriate meal guide based on your body and goals.

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Question 1 of 9

What is your first and last name?

Question 2 of 9

What is your email address?

Question 3 of 9

What is your height?

Question 4 of 9

If you know your current weight, please list it here.

Question 5 of 9

What is your current activity level?

A

Sedentary (doing no exercise)

B

Light (low intensity 1-3 days per week)

C

Moderate (medium intensity 2-4 days per week)

D

Advanced (medium - high intensity 5-7 days per week)

Question 6 of 9

In what range does your lean body mass OR goal weight fit?

A

100-130 lbs

B

130-160 lbs

C

160-190 lbs

D

190 + lbs

Question 7 of 9

Are you currently in perimenopause, menopause or post menopausal?

A

Yes

B

No

Question 8 of 9

Any known health history factors (PCOS, diabetes, thyroid etc)

Question 9 of 9

Describe your current struggles & frustrations with your health.

Confirm and Submit