MACRO SETUP

Basic Info

Name*

Phone Number*

Age*

Height (ft/in)*

Weight (lbs)*

Body Fat % (if you know)

Program Preference

Waist

Hip

Thigh

Upper Arm

Other (specify)

Current Macros/Calories (if applicable- how long have you been on this level, and with what result in terms of weight?)

Recent/Longer-Term Dieting History*

Current Supplements*

Current Workout Routine/Exercise Level (as specific a reasonably short summary as possible)*

Lifestyle (for example- sedentary office worker vs. construction worker vs. busy stay-at-home mom)*

Goals (as specific as possible)*

Any personal preferences regarding higher or lower protein/fat/carbs*

Any other pertinent information (medical conditions, breastfeeding, physical limitations, etc)*

Questions

The photos of yourself should be the most recent photos you have to best track your progress!

Front*

Back*

Side*