Name *

First Name

Last Name

What is your primary health goal? *

A) I want to transform my body and mindset while creating long-term sustainable habits.

B) I want to focus on improving my nutrition and habits in a shorter timeframe to see real progress.

C) I need clarity on how to fuel my body with a personalized macronutrient count and guidance.

How much support are you looking for? *

A) I want ongoing, hands-on support and accountability to ensure I reach my goals.

B) I’d like structured guidance for a shorter time to jumpstart better habits.

C) I only need a one-time consultation to get me on track with my nutrition.

What is the biggest challenge you’re facing right now? *

A) Feeling stuck in cycles of unsustainable dieting or not knowing how to balance nutrition with my life.

B) Knowing what to do but needing focused accountability to break through a plateau.

C) Not understanding how to eat for my goals and needing a clear starting point.

How much time are you willing to invest in this process? *

A) 12 weeks or more—I’m committed to real, lasting transformation.

B) 6 weeks—I can dedicate time for a short-term program to kickstart progress.

C) A single session—I just need personalized guidance and numbers to work with.

What result are you hoping to achieve? *

A) Building long-term sustainable habits, improving strength, and fixing my relationship with food.

B) Jumpstarting progress with focused accountability and building better nutrition habits.

C) Understanding how to eat for my goals through a personalized macronutrient plan.