“YOU DONT HAVE TO BE GREAT TO START; BUT YOU HAVE TO START TO BE GREAT'“ BALANCE. CONVENIENCE. RESULTS Name * First Name Last Name Email * Phone Number (WHATSAPP Preferred) * (###) ### #### Gender Male Female Age * Height * Weight * Bodyfat % or BMI * Wake Up Time: * Hour Minute Second AM PM Breakfast Time: * Hour Minute Second AM PM Lunch Time: * Hour Minute Second AM PM Dinner Time: * Hour Minute Second AM PM Sleep Time: * Hour Minute Second AM PM How active are you through the day? (NOT WORKOUT) * Mainly Seated 3-4 Hours of Activity Always moving around Please list in detail your workout schedule: * Do you drink coffee? If so, what do you put in it? What do you normally eat for Breakfast? * What do you normally eat for Lunch? * What do you normally eat for Dinner? * List all Supplements / Medications you are taking: * Do you snack through the day? * If so, what do you normally eat? What time do you normally snack? What is your workout schedule? * Be specific with days, times, duration, and what kind of workout. Please list all allergies: * Please list all food items you do NOT like: * Any specific carb, protein, veggie, etc. What is your main goal? * What Program Are You Interested In? * Wholesome (has CARBS) Half Wholesome / Half Keto Keto TAKE CARE - AFFINITY PROGRAM Thank you! We will reach out to you via whatsapp.
