VIP Check In Name * First Name Last Name Email * Are you in a weight loss, maintenance or reverse diet phase? If you need calorie/macro support please indicate that here and be sure to complete all remaining questions on this form. * What are your current MFP settings? (activity level and pounds lost per week) * What's your current MFP calorie allotment? What is your averge daily calorie intake? * "I have been consistently meeting my calorie and macro goals." Strongly Disagree Disagree Neutral Agree Strongly Agree What is your current alcohol consumption? * Are you using a food scale? If so, how consistently? * Are you currently intermittent fasting? If so, what is your eating window? * Are you currently following The Empowered Method workouts? If so - how consistently? If not, what are you doing for exercise? * How would you rate your workout intensity on a scale of 1-5 * How are you currently sleeping? * How would you rate your current stress level? * How are your energy levels throughout the day? * Do you have any current medical conditions or are you pregnant? * yes no What other goals are you currently working on? * Are you happy with your progress? If not - what's tripping you up or holding you back? * Anything else you want me to know? * Would you like to have a coach contact you? * yes no if you think I need it Thank you!
