Name
*
First Name
Last Name
Email
*
Starting weight in lbs:
Current weight in lbs (only if comfortable weighing):
Are you in a weight loss, maintenance or reverse diet phase?
Weight loss
Maintenance
Reverse diet
State your current (specific) goal
*
Stating your current, specific goal not only keeps you focused, but it also helps "wire" it into your subconscious mind. When you clearly define what you're working toward, your brain begins to actively look for opportunities and solutions to achieve that goal, even outside of your conscious awareness. This mental shift keeps you aligned with your intentions, making it easier to stay motivated and take the right actions, even when challenges arise. The more specific you are, the more powerful this process becomes.
What's your daily MFP calorie allotment? What is your average daily caloric intake?
*
How true is this statement? I am consistently at or below my calorie target and hitting my protein goal.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Are you using a food scale? If so, how consistently?
*
Are you currently intermittent fasting? If yes, 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?
*
Are you working out to muscle fatigue?
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
How are you currently sleeping?
*
How would you describe your current stress levels?
*
How are your energy levels throughout the day?
*
How's your recovery from workouts?
*
What is your current alcohol consumption?
*
Do you have any curent medical conditions or are you pregnant?
How are your routines?
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'd like me to know?
Would you like to have coach contact you?
yes
no
If you think I need it!