Please complete the following form to help me create personalized meal plans and determine your ideal macros and calorie intake. Name * First Name Last Name Email * Phone * Country (###) ### #### Age Gender Occupation (and typical work schedule): How active are you during the day (e.g., desk job, physically active job, etc.)? Do you engage in regular exercise? If so, what type and frequency? Current Weight * Goal Weight (if applicable) Height * Are you currently on any medications or supplements? Please list: Do you have any known food allergies or intolerances? Have you followed any specific diets in the past (e.g., keto, vegan, etc.)? * Are there any foods you prefer to include or avoid? On a typical day, what does your current diet look like, please be specific, (e.g., meals, snacks, etc.)? Do you consume alcohol? If so, how frequently? * What are your main goals for this program (e.g., weight loss, muscle gain, increased energy, etc.)? How soon are you hoping to achieve these goals? * What challenges have you faced in the past with maintaining dietary changes? Any other relevant details or comments you’d like to share: Thank you for sharing your goals with me! Schedule your 15 minute discovery call now to chat with Jess about next steps!
