Nutrition Assessment Macro Missionary Fill this our completely and honestly so we can formulate your planName* Enter your first and last nameEmail* Please, enter your emailPhone Number*How did you hear about Macro Missionary?* Age*Weight (in lbs)*Enter Your Morning WeightBody Fat % (if known)Height in Inches*Resting Heart Rate?*50-6060-7070-8080+Please describe your goal using the SMART model (specific, measurable, achievable, relevant, time-bound)Please give as much details as possible.* Why Is This Goal Important To You?* How Does Obtaining Your Goal Affect You/Others Around You? Include dedications, who will benefit once achieved, how things will change once achievedObtaining Your Goal Food Preferences Check all that applyFood Preference (if any)*I prefer higher proteinI prefer higher carbsI prefer higher fatsI dont have a preferenceHow Many Times a Day do You eat?* Describe Your Typical Pattern of Eating* Please list the foods/drinks you've consumed in the past 3-7 days *include at least one weekend day* Describe Your Relationship with food including any past eating disorders* Lifestyle & ExerciseHow Many Days a Week do you Workout? Describe Your Job*Very Inactive (office job)Semi Active (on your feet)Very Active (server)Extremely Active (hard labor, house cleaner)Have You Tracked Your food intake before?*yesnoWhat App Did You Use?* Do you track your steps (via fit bit etc) If yes how many average steps per day?* Describe your workouts.* Tell us weights, cardio, how many times per weekDescribe Your Experience with Tracking macros*Expert: Know the app like the back of my handPretty Good: Still have some learning to doFair: Have a lot to learnNon Existent: Never tracked beforeWhat supplements/medicines are you currently taking?* How many hours of sleep do you get?* What are your primary daily stressors? What do you do to relieve stress? How are your energy levels day to day? Is there any medical or psychological reasons why you shouldn't start a nutritional intervention program at this time?* Coaching StylesHow Restrictive Do You want to be? (select 1)*Very Restrictive/Fast PacedSemi Restrictive/Moderate PaceNot Restrictive/Slow PaceHow Do You Want to be Coached?*Tell It Like It Is (stern)Firm But UnderstandingA More Empathetic ApproachChoose Your Coach*Jesse DaleErika DaleAshley AllenChad & Becky ArterburnRonald BaumgartJim and Jennifer BeebeJason BeerKane BentleyTori BlackGrayson BowlesDusti BoyerSteven BrownJulienne & Mercedes CareyTimothy ChapellLaura ClarkMatt ClarkAngie ClayNatasha ClementsDanna CornwellAmber CotterCassie CoveyDallas CrickJohnette CruzKatina CurranEmmanuel DengMarcy DiehlMary DiekampBrandon & Alecia DitschJames DockerayCynthia DombrowskiJustin EllingwoodRachel FergusonNicole GibsonKelsey GirlieKristine GrohnkeBill HaslerRichard & Seleena HayesAnthony HernandezBen Hicks IIIJennifer HillChad HitchcockValerie HoagensonDanielle HoferBrenda HolcomSarah HortonThomas HyltonRyan JonesJordyn KalashikaChase KaufmanShaun KramerJulie LaPortaBrian LaubertAlexis LowryTaylor LungAnita MackKenia MartinezJanae MartintoniBayley MayhallAlisha MillerAllen MillerAngie MillerMichael MitchellSteven MontoyaMark MuellerJason PattersonChasity Phifer and David HaleCasey PruittJetaun and Frederick QuarlesErik RichardsAlyssa RitchieAarika RooneyHeather SaylorIan SchmidtBeth ShepherdEvan SitzmanBrendon SmithLeslie SniderEric StratmanChase SuttonAndrew SypulaShannon TenneySami ThomasJacquelyn Gwin ThompsonJoel TinderAlisha VansellDawn Verret (Rousseau)Benjamin WadsworthElisa WadsworthJustin WalkerLindsey WhittleTavin & Stephani WilsonHudson WikoffShawn WoodKate WoodardGreg WoodsDavid Gelb and Landell CadeWhat is the best thing to say to you if you need to be held accountable or want to quit on yourself?* Upload Your Starting Photos Here*Front/Back/Side if possibleMax. file size: 50 MB.EmailThis field is for validation purposes and should be left unchanged. Δ