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COACHING INTAKE
Your plan is built from these answers, so please fill them in carefully.
Contact
Full name
WhatsApp number, with country code
Email
About you
Gender
Male
Female
Age
Height
Weight
Training
Days per week you can train
3
4
5
6
Have you been lifting weights this month?
Yes
No
Do you own a smartwatch that tracks steps?
Yes
No
Lifestyle
What gets in your way?
Sticking to the nutrition plan
Getting to the gym
Counting calories and macros
Something else
How would you describe your daily activity?
Mostly seated — desk job
Light walking through the day
Active, on my feet most of the day
Very active, manual work for hours
Something else
How much stress are you under, mentally or physically?
None at all
Light and occasional
Moderate
High
Goals and history
What do you mainly want out of this?
Lose fat
Build muscle
Get healthier and stronger
Not sure yet — help me decide
Something else
Have any diets failed you before? What went wrong?
Do you know how to count your daily calories and macros?
Yes
No
For women: Is your menstrual cycle regular?
Anything else I should know
Submit and continue
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