What Do you Want out of this 6 Weeks?
Lose Weight/ Fat
Improve Physical Fitness
Have More Energy
Get Control of Eating Habits
What has Kept you from achieving the things you want listed above?
What do you expect from this 6 weeks?
Have you tried any diets, programs or habit change in the past?
If you have tired other things, why or why not did they work?
How would you rate your current nutrition habits?
1 horrible 10 the best ever!
Why would you rate your nutrition habits at that number?
Do you cook? If so do you cook for yourself or for others?
Who does the grocery shopping for your home?
Do you feel like you consume or buy "healthy" foods?
Are there any foods you can't live without, and have to always have?
Are there any foods that you hate or can't eat?
Do you workout? If so how many days?
How are your energy levels through the day?
What does a typical day look like for you? Start to Finish
What do you spend the majority of your time doing?
Do you feel rushed during the day, or do you find yourself with free time?
What is your current stress level?
1 Really High 10 No Stress Ever
Do you do anything to mange your stress? I.E. hobbies? current activities?
How many hours of sleep do you typically get?
Is there something you are not willing to give up for the next 6 weeks if you needed to? (alcohol? eating out? Treats?)
Is there any additional information you would like me to know about?