What is your current weight vs goal weight?
Have you ever tracked macros before?
—Please choose an option—YesNoMaybe
How long have you been attempting to achieve your current weight gain/loss goal?
—Please choose an option—0-3 Months3-6 Months6-12 Months12+ Months
What have been your biggest obstacles to achieving this?
Do you drink alcohol?
—Please choose an option—YesNo
If yes, how many times per month? How many drinks would you have at one time?
Do you eat fast food? If so, from where and how often?
Are you willing to change aspects of your behaviour and lifestyle if it means being successful in achieving your nutrition goals?
How many hours sleep per night do you get on average?
Are you currently experiencing any short/long term medical conditions? If yes, do you take any prescription medications for this? Detail them below
List any supplements, vitamins or anything else you take regularly
Do you have any dietary restrictions? If yes, detail below
Do you have any history of disordered eating or other mental health issues surrounding eating? If yes, detail below
