Name * First Name Last Name Email * What are your biggest nutritional goals, and on a scale of 1-10, how committed would you say you are to those goals? * Are you training for powerlifting competition? * Yes No Please confirm you're not looking for a meal plan. We do not offer those. * Yup, I gotchu. How many days per week do you currently train? How many hours per session? * What is your current bodyweight and waist circumference? * How many years/how long have you been lifting for? * Have you competed before? If so, how many meets, and what weight class(es)? * What do you feel are your biggest barriers or issues with your nutrition? * Have you worked with a coach previously? If so - have you noticed anything in previous coaching relationships that worked especially well or didn't work well? * Please provide your daily step count if possible: The health app on your phone usually has a good estimate! Have you, or are you previously using PED's? * Yes, currently Yes, previously No Have you used any specific nutritional protocols or strategies in the past? Did they work? * Are there any specific nutritional protocols or strategies you're wanting to try? * Please list any food intolerances, allergies, or dislikes: * Please indicate any foods you love and would like to continue eating: * Are you able to provide a 3-day food log from MyFitnessPal, MyMacros+, or some other source? * Yes No Are you currently taking or planning to take any medications that may interfere with weight loss or drug testing? * Yes No Unsure Have you ever done an acute weight cut for a powerlifting meet before? * Yes No When would you ideally like to start coaching? * MM DD YYYY Where do you live? * Country is fine, just for billing purposes Any Additional Info/Comments? Thank you for your submission! We will get back to you as soon as we possibly can!
