First Name *

Last Name *

Current Weight

Goal Weight

What’s your goal?

Lose weight (Drop 10 or more lbs)
Build Muscle (Build Muscle and increase overall body weight)
Athletic Performance (optimal nutrition to support long and intense athletic training, minimal to no weight change desired.)
Body Composition (lose less than 10 to 15 pounds of body fat, while simultaneously building muscle)
Improve Health (want to improve their nutrition and overall health, while maintaining their current weight.

What’s your preferred eating style?

Allergies to any food?

Are you gluten free?

Will you eat whey protein?

Are you interested in intermittent fasting?

Protein Sources

Please select the protein sources you will eat.

Carbohydrates

Please select the carbohydrates you will eat.

Fats

Please select the fats you will eat.

What are your favorite veggies? Raw and Cooked?

What are your favorite foods?

Where is your top 3 restaurants that you like to frequent?

When do you typically like to snack? What time of day?

Are you a coffee drinker? If so, how do you like your coffee?

Do you consume alcohol? If yes, how often? What do you like to drink?

Please share any nutrition habits or information with me that wasn't covered.

I will be reviewing your informaiton and will be in touch! Please allow 7-10 days for me to review and prepare your program.

Much love,

Jennifer Schwart

Elite Lifestyle Coach

I will be reviewing your informaiton and will be in touch! Please allow 7-10 days for me to review and prepare your program.

Much love,

Jennifer Schwart

Elite Lifestyle Coach

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