Personalized Nutrition Blueprint Questionnaire

Please complete the following form so that I can create your Personalized Nutrition Blueprint.

Please be as detailed as possible in your responses so that I can custom tailor your video to you and your goals. I’m looking forward to receiving and reading your responses.

If you don't want to lose or gain weight, enter your current weight here.
A realistic starting goal for sustainable weight loss is roughly 1-1.5 lbs per week.
Very Light = almost no exercise, Very Intense = 7+ hours per week
Very Light = sitting most of the day, Heavy = strenuous activity for example construction work
Where should I send your guide?
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