Contacts

What are your fitness and nutritional goals? (check all that apply)

Learn to eat a balanced dietReverse dietDecrease body fatGain lean muscleTone muscleOffseason muscle gainReduce stressIncrease enduranceFix digestive issuesImprove overall healthMaintain healthy weightGet jacked as...

What motivates you?

ResultsFeeling betterHaving funImproved healthPraiseMuscular change

Do you currently exercise?

YesNo

What activities do you currently take part in?

Walking/RunningAerobicsStrength trainingBiking/CyclingFree weightsSwimmingSportsYogaMartial artsCompetition body building/bikini/Physique

Select ServiceBikini Bombshell v1.0 BeginnerBikini Bombshell v2.0 IntermediateBikini Bombshell v3.0 AdvancedMini Cut Nutrition PlansDaily Healthy Eating ProgramsMens MASS ProgramReverse DietingPush-Pull Volume Training1-on-1 Personal Training

Do you smoke?

YesNo

Do you drink?

YesNo

What’s your eating style? (check all that apply)

Erratic eaterOver eaterEmotional eaterUnder eaterLate night eaterNegative relationship with foodNever plans mealsFrequently eat fast foodRely heavily on convenienceSnacker

Do you regularly have any of the following from eating?

DiarrheaStomach PainNausea/vomitingBloatingConstipationGasHeartburnGenuinely feel sick

Indicate all that apply to your current nutrition:

Low fatNo wheatLow carbHigh ProteinNo glutenLow ProteinNo dairyLow sodiumVegetarianDiabetesVeganI.B.DNo sugarHigh sugarHigh fatHigh carb

Typically, how many hours do you sleep each night (on average)

Less than 36-74-57-85-6More than 8

Is there any medical or surgical history that I should be aware of prior to writing this program? If so, please list below.