Potential Client Booking
How old are you?
What plan/package are you interested in?
Basic Consultation Package
Consultation + Follow Up Package
The "Real Deal" Package
Please list any nutrition, weight loss, performance, or other goals you hope to accomplish while working with me
Anything else you are looking for in working with me as your nutrition/lifestyle coach?
Check all that apply to you in regards to past dieting history-
Have tried to lose weight in the past using dieting/other nutritional methods
Have tried to use dieting/other nutritional methods to enhance athletic performance in the past
Have never tried any dieting or food tracking methods before
Have you ever had disordered eating patterns or thoughts and/or been diagnosed with an eating disorder?
Please list any other relevant chronic health conditions, diseases, concerns, etc. (if any)-
Any other relevant comments or questions-
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