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1 About You

Before you begin, please note that you must be 18 years old or older

This questionnaire is ONLY for clients who have purchased customized meal plans or online coaching. 

If you have NOT purchased a plan and need help selecting the right plan, please call 1 (888) 304-2843 Mon-Fri 9-5PM EST.

Full Nameyour full name
Instagram Handleyour full name
Cityyour full name
Sex
Age
Height
Current Weight
Goal Weight
Time Frame to reach your goal?
Have your ever been diagnosed with any hormonal issues?
Describe any hormonal issues
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What is your body type?
Describe your combination body type
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What is your Goal?
Are you pregnant or breastfeeding?
If breastfeeding, approximately how many ounces do you lactate per day?
List 5 meals your typically eat for breakfast:
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List 5 meals your typically eat for lunch:
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List 5 meals your typically eat for dinner:
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Do you use a protein supplement?
If YES, please list (1) the protein supplement that you use (2) calorie, (3) protein, (4) carbohydrate, (5) fiber, and (6) fat content.
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Do you want a meal plan based on convenience or variety?
How many meals can you reasonably fit into your day?
Comment on the number of meals you can reasonably fit into your day
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What time of day do you workout?
Do you have any experience with weight training?
Do you have a gym membership?
Do you smoke?
What are your weaknesses when it comes to proper diet and nutrition?
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How many days a week can you CONSISTENTLY workout?
How many minutes can you commit to each workout session?
Describe your typical daily activity (outside of working out). Are you seated and sedentary? Are you on your feet?more details
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What areas would you like to improve on your physique?more details
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Describe your overall goal and typical physique:
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How did you hear about Gauge Girl Training?
Is this your first time working with Gauge Girl Training?
Check any ALLERGIES you have:
Other Allergies:
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What best describes your eating style? Check all that apply:
Do you have experience calorie counting?
Do you have experience tracking macros?
If yes, what are your current macros?
Do you mind eating the same protein and vegetables at both lunch and dinner?
Do you prefer to have the same meal for both lunch and dinner?
What style of macros works best for you?
Other:

What do you want in your meal plan?

*No means you will not eat this food. 

**Yes means you can eat this food and this preference is ok to use in your meal plan


Proteins for my Meal Plan:

Protein for my meal plan
Yes**No*
Ahi Tuna
Almonds
Bacon
Beef Jerky
Bison
Black Bean Spaghetti Pasta
Cod
Cheese
Chicken
Chickpea Pasta
Chicken Sausage
Collagen Peptides
Cottage Cheese
Dairy
Deli Style Meat
Edamame
Edamame Pasta
Egg White Protein Powder
Egg Whites
Eggs
Eggs are part of a recipe (i.e. pancakes)
Epic Bars
Greek Yogurt
Hemp Protein
Mahi Mahi
Meat Alternatives
Micellar Casein
Milk Protein
Mung Bean Pasta
Pea Protein
Peanuts
Pepperoni
Pork Sausage
Protein Bars
Protein Pancakes (homemade)
Protein Shakes
Prosciutto
Pumpkin Seeds
Quest Bars
Red Meat (Beef)
Rice Protein
Rx Bars
Salami
Salmon
Scallops
Seitan
Sea Bass
Shrimp
Smoked Salmon
Smoothies
Soy
Soy Protein
Spirulina Powder
Sunflower Seeds
Tofu
Tempeh
Tilapia
Tuna
Turkey
Turkey Bacon
Turkey Jerky
Turkey Sausage
Whey Protein

What do you want in your meal plan?

*No means you will not eat this food. 

**Yes means you can eat this food and this preference is ok to use in your meal plan


Fats for my Meal Plan:

Fats for my meal plan
Yes**No*
Almond Butter
Almonds
Almond Milk
Avocado
Avocado Oil
Butter
Blue Cheese
Cashews
Cashew Butter
Cashew Milk
Cheddar Cheese
Chia Seeds
Coconut Manna (Butter)
Coconut Milk
Coconut Oil
Feta Cheese
Flax Seeds
Ghee
Goat Cheese
Gorgonzola Cheese
Half and Half
Heavy Cream
Hemp Seeds
Hummus
Macadamia Nuts
Mayonnaise
MCT Oil
Milk, 1%
Milk, 2%
Milk, Skim
Milk, Whole
Mozzarella Cheese
Oat Milk
Olive Oil
Olives
Parmesan
Peanut Butter
Peanuts
Pecans
Pistachios
Sesame Oil
Shredded Coconut
Soy Milk
String Cheese
Sunflower Seeds
Sunflower Oil
Tallow
Vegetable Oil
Walnuts

What do you want in your meal plan?

*No means you will not eat this food. 

**Yes means you can eat this food and this preference is ok to use in your meal plan


(Carbs) Starches for my Meal Plan:

Carbs/Starches for my Meal Plan:
Yes**No*
Acorn Squash
Almond Flour
Almond Flour Tortillas
Apple Sauce (Unsweetened)
Beets
Black Beans
Brown Rice
Butternut Squash
Chickpeas (Garbanzo Beans)
Cinnamon
Cocoa Powder
Coconut Aminos
Coconut Flour
Corn
Corn Tortillas
Couscous
Eggplant
English Muffins
Ezekiel Bread
Gluten Free Bread
Gluten Free Oatmeal
Gluten Free Pasta
Granola
Honey
Instant Oatmeal
Kidney Beans
Lentils
Marinara Sauce
Matcha Powder
Oatmeal Flour
Oats
Pesto Sauce
Pitas
Polenta
Protein Pancake Mix (Kodiak Cakes)
Pumpkin Puree
Quinoa
Quinoa Bread
Red Potatoes
Rice Cakes
Rx Bars
Siete Tortillas (Almond Flour Tortillas)
Soy Sauce
Spaghetti Squash
Steel Cut Oats
Sweet Potato Chips
Sweet Potato Fries
Sweet Potatoes
Wheat Flour Tortillas
White Rice
Whole Wheat Bread
Whole Wheat Pasta
Wild Rice
Zucchini

What do you want in your meal plan?

*No means you will not eat this food. 

**Yes means you can eat this food and this preference is ok to use in your meal plan


(Carbs) Veggies + Fruits for my Meal Plan:

Carbs/Veggies and Fruits for my Meal Plan:
Yes**No*
Apples
Artichokes
Arugula
Asparagus
Banana
Banana Chips
Basil
Bell Peppers
Blackberries
Blueberries
Bok Choy
Broccoli
Brussels Sprouts
Cabbage
Canteloupe
Carrots
Cauliflower
Celery
Cilantro
Collard Green Leaves
Craisins
Cucumber
Dates
Grapefruit
Grapes
Honeydew
Iceberg Lettuce
Jalapeno Peppers
Kale
Mango
Mixed Berries
Mushrooms
Onions
Oranges
Peaches
Pears
Peas
Pineapple
Plantains
Pomegranate Seeds
Radishes
Raisins
Raspberries
Romaine Lettuce
Salsa
Snow Peas
Spinach
Strawberries
String Beans
Tomatoes
Turnips
Watermelon
Zucchini
What exercises can you NOT perform?
Have you ever experienced an eating disorder?IF YES, THIS PROGRAM IS NOT FOR YOU and we recommend seeking guided medical support from a qualified medical specialist. Please contact the national eating disorder association at nationaleatingdisorders.org.

Picture Submission Requirements: ONLY SUBMIT 3 PICTURES. (Preferably in a bathing suit, but If you are not comfortable being photographed in a bathing suit, a sports bra and shorts is acceptable). 

  • In a full length mirror (if taking pictures yourself) or have someone take them for you 
  • Good Lighting 
  • Minimal clutter in the background
  • Use same outfit every week during our check-ins.

Please take the images from the following angles: FRONT, SIDE and BACK:

Fileupload
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Commentsmore details
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Please review your answers for accuracy. Any dietary or training needs NOT mentioned will NOT be accounted for in your program UNLESS THEY ARE EXPRESSLY WRITTEN.

Yes I have reviewed my answers and understand that the program CANNOT be re-adjusted to accommodate for changes after hitting "SUBMIT."
What is your preferred method of contact?

Please note: Programs are sent out within 10-12 business days after your phone call.

What is the best phone number to reach you at?
If you chose "other," please provide that method of contact here
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