Lifestyle Nutrition Application Name * First Name Last Name Email * Date of Birth * MM DD YYYY Gender * Male Female Height & Current Fasted Weight * Goal Weight (if applicable) * GOALS Main Goal (Check all that apply): * Fat Loss Muscle Gain Recomposition Energy General Health Why is this goal important to you? * HEALTH BACKGROUND Any medical conditions? * Yes No Medications or supplements? * Food allergies/sensitivities? * Sleep quality (1–10) & avg hours/night: * Stress level (1–10): * ACTIVITY & LIFESTYLE Weekly workouts (type + frequency): * Step count (if known): * Work style: (Sedentary / Active / Mixed) * NUTRITION HABITS Do you track food? * Yes No Daily water intake: * Caffeine intake: * Alcohol intake: * Typical breakfast: * Typical lunch: * Typical dinner: * Snacks or late-night eating? * PREFERENCES & SUPPORT Foods you enjoy: * Foods to avoid: * Dietary style or restrictions: * Support system at home/work? * Anything else I should know? * Thank you!