Congratulations! Welcome To Online Coaching PLEASE WATCH THIS VIDEO THEN FOLLOW THE STEPS BELOW TO GET STARTED Complete These 4 Simple Steps If You Want To Dramatically Increase Your Results. You can access your program dashboard below. PRECISION MACROS GUIDE TRACK YOUR PROGRESS GUIDE THE KITCHEN REBUILD GUIDE LIFESTYLE ASSESSMENT FORM Please fill out the form below as accurate as possible so that I can customize your meal plan for your lifestyle and goals.Please fill out the form below as accurate as possible so that I can customize your meal plan for your lifestyle and goals. Your Name *Email Address *I am a *MaleFemaleWhat's Your Instagram Username *Email Address *Phone *WHAT ARE YOUR GOALS?Everyone has their own reasons for working on improving their health and fitness. Tell me what results you're after.Please rate your readiness for change. (On a scale of 1-10)Losing Weight 1 = lowest priority, 10 = highest priority.Building Muscle 1 = lowest priority, 10 = highest priority.Looking and feeling better? 1 = lowest priority, 10 = highest priority.Learn how to stay consistent? 1 = lowest priority, 10 = highest priority.Gain more energy? 1 = lowest priority, 10 = highest priority.Get off medications? 1 = lowest priority, 10 = highest priority.Get stronger? 1 = lowest priority, 10 = highest priority.What following goals does best fit Your Needs? *Improved healthIncreased strengthIncreased muscle massFat lossIncreased muscle mass and strengthTRACKING YOUR PROGRESSTo help you track your progress over the year, I'll ask you to share some progress photos and record certain measurements.Height *0 / 10Age *I want to: *I mostly want to lose fat I’d like to move better, lose some fat, and gain some strength.I'd like to put on some weight I mostly want to build muscle; I’m not concerned with fat loss.Current Weight *0 / 10Goal Weight *0 / 10Before Pics (Front, Side, Back)Drag and Drop (or) Choose FilesHow many days per week do you exercise? *How many minutes per day do you exercise (cardio & weight lifting combined)? *LET'S TALK ABOUT NUTRITIONWhat is your biggest nutritional challenge?CravingsI don't know how to cook Don’t know what I should eat Eating out frequentlyEating quicklyEmotional eating / stress eating Family / peer pressureLack of supportive environmentLarge portionsLack of planning Snacking when not hungrySweet toothTime to prepare mealsWine / alcoholCheck All That ApplyIf you had to pick one from the list above, which challenge would you consider to be your most difficult to overcome and why?On an average day, how many glasses of water do you drink? *0-2 glasses3-5 glasses6-8 glasses8+ glassesOn a scale of 1-10, how knowledgeable are you about making smart food choices?Dietary PreferencesWhich best describes you?I want basic, inexpensive, routine meals to make to reach my goals (Most affordable due to a simple grocery list)I need a wide variety of weekly meals to stick to my meal plan. (More costly due to a larger grocery list.)Money isn't a problem, I want the best meal plan that'll help me accomplish my body goals What's your Work Schedule?This will give us a better idea of how to setup your eating scheduleNumber of Meals Per Day:The fewer the meals, the bigger they can be.Number of Snacks Per Day:ARE THERE ANY (VEGAN) FOODS THAT YOU REFUSE TO EAT?0 / 180ARE THERE ANY VEGAN FOODS THAT YOU REALLY WANT TO EAT?0 / 180LET'S TALK ABOUT TRAININGHow would you describe your exercise level? *Level 1: I've never really exercised before Level 2: I have some experience but it's limitedLevel 3: I feel comfortable with many different exercisesLevel 4: I'm very experienced with many different exercises Level 5: I'm advanced and have had high-level exercise and movement coachinghow many days per week can you commit to working out and how much time do you have to commit to each workout?What is your goal with your training and Why?What’s your biggest exercise challenge? The thing that makes it difficult for you to stay consistent or make progress with exercise? Demands of daily lifeDislike of exerciseFrequent travelImpatience when it comes to resultsInjuries Lack of programLack of supportive environmentMotivation / willpowerMy ageStressTime / time management Work scheduleOTHERCheck All That ApplyIf you had to pick one from the list above, which challenge would you consider to be your most difficult to overcome and why?What days of the week would you like to do your workouts? (Check All that apply)MondayTuesdayWednesdayThursdayFridaySaturdaySundayHow intense is your exercise? *Light: I can hold a conversation while working out and do not break a sweet.MODERATE: : I am breathing hard and challenge myself.DIFFICULT: I always break a sweat and have an elevated heart rate. I cannot hold a conversation.INTENSE : Don"t talk to to me, don"t look at me. I am here for a purpose and i might die today.How would you describe your normal daily activities?Sedentary: Spend most of the day sitting (e.g. bank taller, desk job)Lightly Activity: Spend a good part of the day on your feet (e.g. teacher, salesman) Active: Spend a good part of the day doing some physical activity (e.g. waitress, mailman)Very Active: Spend most of the day doing heavy physical activity (e.g. bike messanger, carpenter)If you have any diagnosed health problems list the condition(s).0 / 180If you are taking any prescription medications, please list them.0 / 180If you have any injuries, please list them.0 / 180How would you currently describe your sleep habits?I get at least 7-9 hours of sleep most nights I wake up feeling rested most mornings I rarely take a daytime nap lasting 2 hrs or moreI go to bed around the same time most days I wake up / get out of bed around the same time most daysI most often only use my bed for sleeping and intimacy I don’t generally go to bed feeling stressed, angry, upset or nervousI most often sleep in good environment (eg. comfortable bed, dark, cool, and quiet room)Check All That ApplyAre you experiencing any stresses or motivational problems?0 / 180Please list the physical activities that you participate in outside of the gym and outside of work:What's your work and family life like?Lots of factors can affect our nutrition. This includes stress, social support, and time spent on work, family, and other responsibilities.What do you do for a living?Do you work days, afternoon or nights? *Days (ex. 9am-5pm, etc.)Afternoons (12pm-9pm, etc.)Nights (11pm-7am, etc.)I have a rotating schedule and do shift workWhat's your activity level at work? *Inactive; I'm mostly sittingModerate; I'm on my feet for a part of every day Active; I'm moving all day Very active; I do physical laborWhat is your typical stress level at work? * Low stress; my work is pretty relaxedModerate stress; it's sometimes relaxed and sometimes crazy High stress; I'm always under pressureIs there anything else we should know that would be useful for tailoring your plan?How did you hear about Built By Plants Coaching?How did you first hear about Built By Plants? *Referred By A FriendSaw it mentioned on FacebookSaw it mentioned on InstagramSaw it on YouTubeOtherASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT DECLARATIONS: * *At Built By Plants, we're dedicated to finding and using the best possible evidence- and research-based nutrition practices. Because of that mission, this program will help you get into the best shape of your life. It'll also help me create more and better evidence and research... so others can eventually benefit from our experience and knowledge. I often use data from our clients as testimonials, but only after successful transformations. Before doing so, I like to get your consent to include your data in current and future publications. Therefore... "I agree to let Built By Plants use the information they collect in this program in current and future case studies." I understand that there are no risks associated with saying yes, and by allowing my information to be used in this way, I'll be helping further the field of exercise and nutrition science. Medical release Every individual who has regularly attended and completed our coaching programs has gotten healthier and fitter. But we still need to be sure that you take full responsibility for your health and the monitoring of it. It's important that you understand: Our advice cannot — especially with distance-based coaching — replace the advice of a trained medical doctor. It is your responsibility to work directly with your physician before, during, and after seeking group coaching with Built By Plants or any other specialized consulting group. If you choose to be coached by us without the prior consent of your physician, you agree to accept full responsibility for your decisions and to hold harmless Built By Plants, its agents, officers, and employers and any affiliated companies from any liability with respect to injury to you or your property arising out of or connected with your use of the information discussed. Yes, I agree with terms and conditions above.Submit Form