Updated Macro Request Form

Medical History and Lifestyle

Medical History:
Medications and Supplements:

Exercise and Movement:

On average, how many days do you train/exercise each week?

Which of these exercise modalities do you engage in and how often?

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How many minutes are your exercise sessions, on average?
What is the intensity of your exercise sessions, on average?

Which activity level best describes you for most days?

This does NOT include exercise; we're looking for general activity levels throughout the rest of your day. You might crush your 1-hour workouts but sit the rest of the day at work, and we need to know this to help determine how many calories you're burning daily.

Which body type do you most closely identify with?

(see image for more information)

Nutrition & Lifestyle Preferences:

During the week, how many times do you eat a day?
Please select any that describe your current diet.
How many times a week do you eat food NOT cooked at home (i.e. restaurant, fast food, social events, etc.)

How much (times per week) and how often (# of servings) do you consume alcohol and caffeine?

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Motivation and Mindset

What are your goals? (check all that apply and include any that are not listed)
Are you currently aware of areas that may be keeping you from reaching your goals?