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Onboarding Premium/Elite Membership Form

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


This questionnaire is ONLY for clients who have purchased a Premium or Elite GGT Lifeline Membership.


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.

First nameyour full name
Last nameyour full name

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

Instagramyour full name
Cityyour full name
State
Country
Gender
Age
Birthdate
Heightyour full name
Current Weightyour full name
Goal Weightyour full name
Have you ever experienced an eating disorder?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. Please note, a meal plan doesn’t need to mean “diet”. It can be written at maintenance calories.
Rate of Weight Loss
Comment on rate of weight loss
*Have your ever been diagnosed with any hormonal issues?
Describe any hormonal issues
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*Please indicate if you currently have any of the following medical conditions
*Please indicate if you have a genetic or family history of any of the following medical conditions.
Comment on medical conditions
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Are you pregnant or breastfeeding?
If breastfeeding, approximately how many ounces do you lactate per day?


NOTE: The 4 Week Custom Meal Plan comes with four (4) menus for you to rotate and use as you choose. One (1) menu is meant for one (1) day of meals and you can prep as many days as you wish.

List 4 meals you typically eat for breakfast:
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List 4 meals you typically eat for lunch:more details
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List 4 meals you typically eat for dinner:more details
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Would you like your menus to be similar to what you typically eat?

List up to 5 requested food items or dishes below. 
*For any specific brand name products, a picture of the nutrition label containing the (1) calorie, (2) protein, (3) carbohydrate, (4) fiber, and (5) fat content MUST be submitted. Your request WILL NOT be honored without this information.
**Please note that our nutritionists will assess your requests to see if these requests will be a realistic fit within your allotted macro goals.
***Any dish or food item listed may be modified or omitted to fit your macronutrient ratios.

List up to 5 requested food items or dishes heremore details
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Do you use a protein supplement?

If YES, please take a picture of the nutrition label of your protein supplement. This should include: (1) the name of the protein supplement (2) calorie, (3) protein, (4) carbohydrate, (5) fiber, and (6) fat content.

Nutrition Label - Protein Supplementupload
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Do you use any other supplements (i.e. BCAAs, protein bars, pre-workout, benefiber, etc)?

If YES, please take a picture of the nutrition label of any supplement you use. If applicable, this should include: (1) the name of the supplement (2) calorie, (3) protein, (4) carbohydrate, (5) fiber, and (6) fat content.

Nutrition Label - Other Supplementsupload
cloud_uploadUpload
How many meals can you reasonably fit into your day?
Comment on the number of meals you can reasonably fit into your daymore details
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Do you want a meal plan based on convenience or variety?
*Select which best describes your level of activity outside of working out:
What time of day do you workout?
Do you want home or gym workouts? (choose one)
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?more details
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How many days a week can you CONSISTENTLY workout?
What areas would you like to improve on your physique?
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Describe your overall goal and typical physique:
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What exercises can you NOT perform?
Choose your program:
How did you hear about Gauge Girl Training?your full name
Is this your first time working with Gauge Girl Training?
What best describes your eating style? Check all that apply:
Check any ALLERGIES you have:
Other Allergies:
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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?
Would you like any of your menus to contain the same meal for both lunch and dinner?
What style of macros works best for you?
Other:

Menus/Food Style

*Please note we may not be able to honor every request.

Breakfast:I like these types of breakfasts.
Other things you like for breakfast not listed
Lunch:I like these types of lunches.
Other things you like for lunch not listed
Dinner:I like these types of dinners.
Other things you like for dinner not listed

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


*Protein for my Meal Plan:

Protein for my meal plan
Yes**No*
Ahi Tuna
Bacon
Beef Jerky
Beyond Meat Products
Bison
Black Bean Spaghetti Pasta
Built Bars
Cod
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
Lamb
Lamb Chop
Mahi Mahi
Meat Alternatives
Micellar Casein
Milk Protein
Mung Bean Pasta
Mung Bean Sprouts
PB2 Powder
Pea Protein
Pepperoni
Pork (in general)
Pork Sausage
Pork Tenderloin
Protein Bars
Protein Pancakes (homemade)
Protein Shakes
Prosciutto
Quest Bars
Red Meat (Beef)
Rice Protein
Rx Bars
Salami
Salmon
Scallops
Seitan
Sea Bass
Shrimp
Smoked Salmon
Smoothies
Soy
Soy Protein
Spirulina Powder
Tofu
Tempeh
Tilapia
Tuna
Turkey
Turkey Bacon
Turkey Jerky
Turkey Sausage
Whey Protein
Yogurt (regular)
Yogurt (almond milk)
Yogurt (coconut milk)

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
Brazil Nuts
Cacao Nibs
Cashews
Cashew Butter
Cashew Milk
Cheddar Cheese
Cheese (regular)
Cheese (vegan)
Chia Seeds
Coconut Manna (Butter)
Coconut Milk
Coconut Oil
Cream Cheese
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
PB2 Powder
Peanut Butter
Peanuts
Pecans
Pesto Sauce
Pine Nuts
Pistachios
Pumpkin Seeds
Provolone Cheese
Sesame Oil
Sesame Seeds
Shredded Coconut
Sour Cream
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
Cannellini Beans
Chickpeas (Garbanzo Beans)
Cinnamon
Cocoa Powder
Coconut Aminos
Coconut Flour
Corn
Corn Tortillas
Couscous
English Muffins
Ezekiel Bread
Garlic
Gluten Free Bread
Gluten Free Oatmeal
Gluten Free Pasta
Granola
Honey
Hot Sauce
Instant Oatmeal
Keto-Friendly Bread
Kidney Beans
Lentils
Marinara Sauce
Matcha Powder
Oatmeal Flour
Oats
Panko Crumbs
Pinto Beans
Pitas
Polenta
Popcorn
Protein Pancake Mix (Kodiak Cakes)
Pumpkin Puree
Quinoa
Quinoa Bread
Red Lentil Pasta
Red Potatoes
Rice Cakes
Rx Bars
Siete Tortillas (Almond Flour Tortillas)
Soy Sauce
Spaghetti Squash
Sriracha
Steel Cut Oats
Sweet Potato Chips
Sweet Potato Fries
Sweet Potatoes
Tomato Sauce
Wheat Flour Tortillas
White Bread
White Rice
Whole Wheat Bagel
Whole Wheat Bread
Whole Wheat Pasta
Wild Rice

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:

Carb (veggies) for my plan
Yes**No*
Apples
Artichokes
Arugula
Asparagus
Banana
Banana Chips
Basil
Bell Peppers
Blackberries
Blueberries
Bok Choy
Broccoli
Brussels Sprouts
Cabbage
Cantaloupe
Capers
Carrots
Cauliflower
Celery
Cilantro
Collard Green Leaves
Craisins
Cucumber
Dates
Eggplant
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
Sun-Dried Tomatoes
Tomatoes
Turnips
Watermelon
Zucchini

What do you want in your meal plan?

*No means you do not want this with your food. 

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


*Seasonings/Condiments for my meal plan:

Seasonings and Condiments in my plan
Yes**No*
Apple Cider Vinegar
Balsamic Vinegar
Lemon Juice
Lime Juice
Liquid Aminos
Old Bay Seasoning
Stevia
Body Type
Body Typepick one!

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. 

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

Body Type Imagesupload
cloud_uploadUpload
Commentsmore details
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Contactpick one!
What is the best phone number to reach you at?
Best time to callpick one!
If you chose "other," please provide that method of contact here
ACKNOWLEDGEMENT: Yes, I have reviewed my answers and understand that the program CANNOT be re-adjusted to accommodate for changes after hitting "SUBMIT."
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