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IRON FORK NUTRITION

Iron Fork Nutrition
Team Iron Fork
Merch
Success Stories
About

Purchase Information

* Indicates required field

Order number *

The order number can be found in your confirmation email.

Personal Information

Name *

First

Last

Email *

Phone Number *

AGE *

Height *

Weight *

Gender *

Body Fat Percentage *

If you know your current body fat percentage, input it here as a percent

Special occasion

What is your special occasion? *

What are your goals for your special occasion? *

Why do you have these goals? *

Have anything else you would like us to know? If so, fill it in here!

How do the people around you support these goals? *

How motivated are you to reach these goals? *

How willing are you to put in the work to reach these goals? *

Do you see any hurdles that may prevent you from reaching these goals? *

Do you have access to a gym? *

Yes No

How many days per week are you able to make it to the gym? *

Habits

On a scale from 1 to 10, rate your current eating habits *

1 is Very Unstructured 10 is Very Structured

Do you normally eat breakfast? *

Yes No Sometimes

How many meals do you normally eat per day? *

Where do you struggle when it comes to dieting? *

Don't know what to eat Don't know how much to eat Overeating Uncontrollable hunger Mindless snacking Overconsumption of alcohol Emotional eating Sweet tooth Intense cravings Under eating Low appetite Too busy to eat

Select all that apply

How many times per week do you cook your own meals? *

Have you tried any diets in the past? *

Yes No

Did any of your past diets work? Why or why not? *

Are you comfortable counting calories? *

Yes No

Are you comfortable counting macros? *

Yes No

Lifestyle

How many hours per week do you spend engaging in some type of exercise? *

If you work outside of the home, how physically demanding is your job? *

Health

How would you rate your current health? *

Do you have any physical limitations? *

Do you have any relevant current or past health issues? *

Do you have any health concerns you would like to address in this program? *

Do you have any allergies or food sensitivities? If so, what? *

What are some of your favorite foods? *

What are your least favorite foods? *

Keeping in touch

I will be communicating with you through text message most commonly.
Another method I like to use to communicate with you is a walkie-talkie app called Marco Polo. It's free and can be found on in the app store on both iOS and Android devices.

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Website Created by Cody Muhlestein and Nicholas Peterson.
Check out Cody's website here!

Iron Fork Nutrition
Team Iron Fork
Merch
Success Stories
About