"(Required)" indicates required fields Step 1 of 11 9% What are your overall nutrition goals? Lose weight Build strength Maintain Health Gain more energy What kind of support do you need to make changes to your diet? Accountability Knowledge about nutrition Custom approach to fit my lifestyle and goals Motivation What have you tried in the past to reach your health goals? Do you have any dietary restrictions or allergies we should be aware of? No Yes If Yes: Are there any specific nutrition-related topics that you would like to discuss? Calorie counting Sleep Eating healthy Portion control Other If Other: What challenges have you faced in trying to make changes to your diet and health? I don’t know anything about it I have troubles sticking to a plan Meal planning feels like a chore Healthy foods are expensive It’s hard doing it alone I struggle with consistency (ex: weekends) Do you have any health issues or chronic illnesses that will impact your ability to change your diet? No Yes If Yes: Have you tried to change your diet before? No Yes If so what did that look like? What is motivating your decision to change your health now? I want to improve my overall health I want to lose weight and/or change my body composition I want to be stronger I want more energy I have an upcoming event How do you currently get nutrition information? Online Coach I am a nutrition coach I don't Other You are InspireYouNutrition Ready! Fill in the information so you can be contacted to learn more about services and get free guide to jumpstart your health journey.Name(Required) First Last PhoneEmail(Required)
