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Nutrition Coaching

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Basic Info:

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Goals & Assessments

Goals:
Dedication:
How dedicated are you? Elaborate?
Hurdles?
Have you been training in the past?
Previous Training
Tell me about your previous training. How long, often, levels of coaching, etc
Previous Coaching
Are there are any negative past coaching experiences (or fitness related in general) I should be aware of, please brief me here.

Medical History

Injuries
Have you ever had any injuries? If so, how long ago? What type of injury?
Surgeries?
Have you ever had any surgeries/operations? If so, list date and type?
Do you have any allergies? *
Allergy Disclosure
Please provide all known allergies.
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Medication History
Please list any medication you have taken in the last 90 days
History of Diabetes / Glucose Issues? *
Tell me more:
List any issues with diabetes, blood glucose, A1C or Insulin levels
Heart Health
Have you ever been diagnosed with heart disease or have heart issues?
Health Complications?
Are there any other health complications I should be aware of?
Tobacco Use? *
Smoking / Tobacco?
How much / often do you use tobacco / nicotine products?
Alcohol Consumption? *

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GI Health Questionnaire

Have you been diagnosed with, or experienced, any of the following?
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Upper Gastrointestinal System - Do you experience any of the following?
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Have you been tested for H Pylori? *
If yes, was the result positive or negative?
How long ago was this and how was it treated?

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GI Health Questionnaire (continued)

Liver and Gallbladder
Do you experience, or have you experienced, any of the following? (Please tick appropriate answers)

Frequency of Bowel Movements? *
Frequency of Constipation? *
Frequency of Diarrhea? *

Small Intestine / Microbiome
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following? (Please tick appropriate answers)

Large Intestine / Acetaldehyde
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following? (Please tick appropriate answers)

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Female Only Questionnaire

Do you experience, or have you experienced, any of the following? (Please tick all appropriate answers)

Recent Status

Pain Level
Is there pain in any areas? If so, where. Please describe the pain
Current Complaints?
List any major issues / complaints from health related issues to psychological issues.
Sleep Levels / Quality
How many hours of sleep do you get? (Or rate by quality)
Current Stress Levels (1-10)
Stop and think about it. Are your shoulders relaxed right now?
Cause of Stress?
How long has this been an issue?
Sleep Patterns / Problems
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Any Recent Blood Tests? *
Please Upload Blood Test Results
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Please email me the results if you don't have a copy
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Please tell me about your Skin issues

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Nutrition

Food Intolerances
Please list any / all food intolerances
Food Preferences
What foods do you like and dislike?
Are you currently taking any supplements? *
List Of Supplements
Recent AAS Use? *
AAS Info
Previous Meal Plans or Macro Counting? *
Tell me about Meal Plans you have followed or macro counting
48 Hour Food Log
Please give a detailed 48 hour food log (including all food, drinks / water) , Include approx time of consumption and weight. Or list a set caloric/macro intake
Intake history
How long have you been on your current intake? Have you been gaining, losing, or maintaining on this intake?

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Assessment Metrics

Current work out regimen
Please describe your current regimen including frequency, volume, intensity etc of your training? Include anything that I may find helpful.
Are you doing any cardio at this time? If so, please detail that as well.
Anything Else I should know?

Photos:

Provide front, back, and side angles in shorts or underwear ( Females: sports bra, swim suit top, etc ).

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Group Coaching

This Program Includes:

  • Personalized Habit Tracker
  • Community Coaching Group via What’s App
  • Monthly Group Zoom Meeting
  • Shared Google Drive with additional resources
  • Monthly email check-ins for progress monitoring, goal setting, and strategy planning.

This Program is $125/ Month

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Full Coaching

This Program Includes:

  • A custom nutrition plan base on your needs
  • A custom nutrition plan base on your needs
  • Functional Health Analysis & Complex Case Support
  • Customized resistance training programming based on goals, experience level, and equipment
  • Ongoing analysis of training, workouts, and movement relative to your goals via What’s App. 
  • Resistance training programs are sent weekly and adjustments to your program are based on your Bio-Feedback and progress markers

This Program is $400/ Month

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Training and
Physical Coaching

This Program Includes:

  • Customized resistance training programming based on goals, experience level, and equipment
  • Ongoing analysis of training, workouts, and movement relative to your goals via What’s App. 
  • Resistance training programs are sent weekly and adjustments to your program are based on your Bio-Feedback and progress markers
  • Training video reviews via WhatsApp 
  • Weekly Check-ins through What’s App
  • Email support outside of check-ins and WhatApp
  • Additional guidance calls via Zoom on an as-needed basis

This Program is $185/ Month

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Nutrition Coaching

This Program Includes:

  • Weekly Video Check-ins 
  • Email support outside of check-ins 
  • Additional guidance calls via Phone/Zoom on an as-needed basis
  • Adjustments to Program Based on Bio-Feedback
  • A custom nutrition plan base on your needs
  • Guidance on Peri-Workout Nutrition
  • Supplement protocols (and discounts on medical grade supplements)
  • Cardio protocols 
  • Step/daily movement targets outside of cardio and weight training 
  • Functional Health Analysis & Complex Case Support
  • Lab work reviews via Zoom
  • Assistance with ordering blood work & Specialty Labs (Dutch, GI Map, etc)
  • Shared Google Drive with additional resources

This Program is $265/ Month

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