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BOOK A STRATEGY SESSION
BUILD YOUR BLUEPRINT
First name
*
Last name
Email
*
Phone
Gender
*
Male
Female
Age
*
Height (in)
*
Weight (lbs)
*
Description of Occupation Activity Level:
*
Light/Desk Job
Moderate (on feet most of day, e.g., teacher, retail)
High (heavy labor)
Varies (for freelancers or shift workers with inconsistent activity)
Which of the following best describes your current goal(s)?
*
Improve body composition (build muscle/lose bodyfat)
Weight/Fat loss
I'm looking to improve my athletic performance
Bodybuilding/Physique contest prep
Make a weight for a sport
Build muscle
I want to feel better
If you're training for a specific sport please list it here:
Is there a specific timeline for your goal(s)? If so, please specify here:
How often do you currently train/exercise?
*
1-3 hours per week
3-5 hours per week
6-7 hours per week
8-10 hours per week
More than 10 hour per week
I do not workout at this time
Average hours of sleep per night
*
Less than 5 hours
6-7 hours
6-7 hours per week
7-9 hours
9+ hours
How much alcohol do you drink per week?
*
I don't drink
1-2 drinks
3-5 drinks
6-7 drinks
More than 7 drinks
Which of the following (if any) have been or are potential barriers to you achieving your goals? (Check all that apply)
*
Time
Energy
Motivation
Knowledge about what to do
Accountability
Nutrition habits/Consistency with diet
Please use this area to post any comments or questions you have.
Submit
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