Nutrition Coaching Application Please fill out the following questions so we can set up our onboarding call! Name * First Name Last Name Email * Phone (###) ### #### Current City & State Age Height Current Weight What is your PRIMARY Goal (Fat Loss, Muscle Building, Athletic Performance, Overall Health)? What has held you back in the past from reaching your goal? Have you ever tracked calories/macros? What are your bad habits when it comes to nutrition? Are you willing to change them? What are your 3, 6, and 12 month goals? Do you workout, if so are you interested in online training or in gym fitness services? Thank you! I’ll be in touch within the next 24 hours. -Gina