Challenge Form – Gauge Girl Training

Challenge Form

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

You should consult your physician or other health care professional before starting this or any other weight loss program to determine if it is right for your needs.

This challenge form is ONLY for clients who have purchased our current challenge.

GENERAL INFO

*First Name

*Last Name

*Emaila valid email

*NOTE: FIRST NAME, LAST NAME, AND EMAIL MUST MATCH YOUR PURCHASE ORDER.

*Birthdate

*Phone

City

Country

*Sex

MaleFemale

*Age

*Birthdate

Height

Weight

*Current WeightIndicate Pounds or Kilograms

*Goal WeightIndicate Pounds or Kilograms

*Rate of Weight Loss:

Accelerated (800 calorie deficit - weight loss of about 2 lbs per week)Moderate (500 calorie deficit - weight loss of about 1 lb per week)Slow and Steady (250 calorie deficit - weight loss of about 1/2 lb per week)Maintenance/Body Recomposition (no calorie deficit - no weight loss, only fat loss and muscle gain)Lean Gains (300 calorie surplus - weight gain of about 1/2 lb per week)Other (please describe below)

Other

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*Please note that the nutrition team will assess whether or not this is safe for you. Calorie deficit may be adjusted to ensure a safe calorie level during the final phase of your program.

*If you selected "maintenance" or "lean gains", would you like your calories to decrease after each phase?

YesNoGGT RecommendationI did not select "maintenance" or "lean gains"

ACTIVITY FACTOR

*Are you planning to follow the GGT Training Program?

YesNoSometimes

*Are you planning on completing workouts other than or in addition to what GGT recommends?

YesNo

*If yes, please describe

*Select which best describes your level of activity outside of working out:

Sedentary - you spend most of the day seated, there is very little movement outside of working outLightly Active - your daily activities involve approximately 30 minutes of walking or movement outside of working out, you spend a moderate amount of time on your feetActive - your daily activities involve approximately 1 hr 45 minutes of walking or movement outside of working out, you are physically active for a good portion of your dayVery Active - your daily activities involve approximately 4 hr 15 minutes of walking or movement outside of working out, you are physically active for the majority of your day

Desired Workout (choose one):

Home Gym

ADDITIONAL INFO

*Have you ever been diagnosed with any hormonal issues?

*Are you pregnant or breastfeeding?

YesNo

If breastfeeding, approx. how many ounces do you lactate per day?

*What style of macros works best for you?

USDA's 2015-2020 Dietary Guideline Recommendations (10-35% protein, 20-35% fat, 45-65% carbs)Fitness Competitor Style Diet (High Protein Low Fat)Low Carb High Fat - 15% carbs, recommended for those with PCOS, Insulin Resistance, or T2DMLow Carb High Fat - 25% carbs, recommended for those with T1DM, thyroid issues, or hormonal issuesKeto - 5% carbsGGT Recommendation

Other

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BODY TYPE

If you do not know your body type, ATTACH 1 to 3 images: Front, Back and/or Side. (Preferably front and back). To be in either a bikini or a sports bra and shorts.

NOTE: MUST BE IN JPG or PNG FORMAT (with a max file size of 8000kb each image)

Uploads

Upload

For a free body type assessments please email bodytype@gaugegirltraining.com

ACKNOWLEDGEMENT: Yes, I have reviewed my answers and understand that the program CANNOT be re-adjusted to accommodate for changes after hitting "SUBMIT."

Yes, I Agree