1-1 Nutrition Audit

Thanks for your interest in my 1-1 nutrition audit.

It's time for you to get the insight you need to feel clear on what changes you need to make with your nutrition in order to reach your goals. If you are struggling to lose fat and see physical changes, get to the bottom of your bloating, or restore your period, this is for you.

Complete this form to apply for a free nutrition audit and I will be in touch with my feedback within the week. 21 and up only.

What is your name?

What is your IG handle? I need this to get in touch with your audit!

What is your email address?

What is your age, height, and weight (in pounds)?

Which of the following goals do you have? Select all that apply.

Which of the following goals do you have? Select all that apply. 

How long have you been struggling to reach these goals?

What are your top challenges with nutrition? Select all that apply.

How would you describe your relationship with food?

A

It's amazing! No issues here.

B

It could be better. Depends on the day.

C

I have a very poor relationship with food.

Do you have experience with tracking macros or calories? Are you CURRENTLY tracking? If you know your current macro or calorie targets, please list them and let me know how adherent you are being to these on a scale of 1-10.

Do you feel confident setting and adjusting macros?

Do you feel confident setting and adjusting macros?

A

Yes, very!

B

Somewhat.

C

Not at all.

What best describes your eating patterns during the week?

A

I have a lot of structure with my diet and eat regular, balanced meals.

B

I have a good amount of structure, but get thrown off easily.

C

I have no structure. Sometimes I skip meals, sometimes I just graze on things, sometimes I overeat.

What do your weekends typically look like when it comes to your nutrition?

On average, how many alcoholic beverages do you consume per week?

How important is making a change to you?

A

It's very important. I am committed to my goals when I have a plan.

B

I really want change, but struggle to follow through.

C

I don't value my goals much, and tend to put everything else in my life first.

Would you like to receive information about what it looks like to work with me in my 1-1 program?

Would you like to receive information about what it looks like to work with me in my 1-1 program?

A

Yes, I would like more info on your 1-1 coaching.

B

Maybe, I think it could be good for me.

C

No, I am already set on not wanting a coach.