Nutrition questionnaire - Get Gritty Nutrition

Please complete and submit the form below if you are interested in one-on-one coaching (more info here) or you’re a former client who needs a macro recalculation. I will follow up with you via email within three business days.

Name *

First

Last

What is your email address? *

Confirm Email

Where are you located? Just state is fine! *

What is your occupation? *

How did you find out about Get Gritty Nutrition? *

What are you looking for? *

What is your gender? *

What is your age? *

What is your height in feet and inches? *

What is your current weight in pounds? *

What is your primary goal?

Have you tried to reach this goal in the past? If so, how? *

What challenges/barriers did you experience? *

Why is attaining this goal important to you? *

How many HOURS per week do you do cardio workouts? *

How many HOURS per week do you do strength training? *

How many HOURS PER DAY do you sit (not including sleep) on average? *

If you track your steps, how many steps do you typically take in an average day? *

What has your nutrition/diet looked like for the past 3-6 months? If you know how many calories you eat per day on average, please list. *

Please list any health conditions you have. *

What is your dieting history and/or your history working with a nutrition coach? *

Are you vegan, vegetarian or pescatarian? *

Are there any major food or food groups you don't eat due to allergies or preference? *

What is your knowledge/confidence level in tracking macros? *