intakeform Archives - Power Fit Meals

"CLIENT INTAKE FORM" is a required field.

A CUSTOM PLAN + 3 MONTHS OF COACHING
Commit to lasting results with a custom meal plan plus three months of coaching to refine your approach and stay accountable on your journey.
$500.00

CLIENT INTAKE FORM *
Please fill out the nutrition form thoroughly to ensure we have all the details needed to tailor your plan. Once submitted, a team member will review your information and reach out within 2 business days to discuss the next steps!
FIRST & LAST NAME:

EMAIL:

PHONE NUMBER:

TODAY’S DATE:

CURRENT WEIGHT:

CURRENT HEIGHT:

CURRENT AGE:

BLOOD TYPE:

DESCRIPTION OF GOALS & REASONS FOR SEEKING COACHING:
DESCRIPTION OF WORKOUTS/CARDIO ROUTINE (IF ANY):
DESCRIBE YOUR RELATIONSHIP WITH FOOD AND CURRENT EATING HABITS:
DESCRIBE CURRENT MOODS, STRESS LEVELS, ENERGY LEVELS, AND SLEEP:
DO YOU DRINK CAFFEINE:
HOW MUCH WATER DO YOU CONSUME DAILY:
DO YOU LIKE SPICY FOOD?
LIST YOUR FAVORITE FOODS, TAKE YOUR TIME TO TRULY THINK ABOUT THIS!
DO YOU HAVE ANY FOOD ALLERGIES, INTOLERANCES, OR FOODS YOU WANT TO AVOID FOR ANY OTHER REASON?
LIST ALL MEDICATIONS, SUPPLEMENTS, SURGERIES, OR ANY OTHER HEALTH CONDITIONS:
FOR WOMEN ONLY- DESCRIPTION OF ANY INFORMATION ABOUT HORMONES, PREGNANCY, HORMONE THERAPY, PRE/POST MENOPAUSE, ETC:
SUBMIT PHOTO OF FRONT VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF SIDE VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF BACK VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)

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A CUSTOM PLAN + 4 WEEKS OF COACHING
Get a personalized meal plan along with one month of coaching to stay on track and fine-tune your approach. We’ll create your custom plan and provide guidance to help you reach your goals.
$200.00

CLIENT INTAKE FORM *
Please fill out the nutrition form thoroughly to ensure we have all the details needed to tailor your plan. Once submitted, a team member will review your information and reach out within 2 business days to discuss the next steps!
FIRST & LAST NAME:

EMAIL:

PHONE NUMBER:

TODAY’S DATE:

CURRENT WEIGHT:

CURRENT HEIGHT:

CURRENT AGE:

BLOOD TYPE:

DESCRIPTION OF GOALS & REASONS FOR SEEKING COACHING:
DESCRIPTION OF WORKOUTS/CARDIO ROUTINE (IF ANY):
DESCRIBE YOUR RELATIONSHIP WITH FOOD AND CURRENT EATING HABITS:
DESCRIBE CURRENT MOODS, STRESS LEVELS, ENERGY LEVELS, AND SLEEP:
DO YOU DRINK CAFFEINE:
HOW MUCH WATER DO YOU CONSUME DAILY:
DO YOU LIKE SPICY FOOD?
LIST YOUR FAVORITE FOODS, TAKE YOUR TIME TO TRULY THINK ABOUT THIS!
DO YOU HAVE ANY FOOD ALLERGIES, INTOLERANCES, OR FOODS YOU WANT TO AVOID FOR ANY OTHER REASON?
LIST ALL MEDICATIONS, SUPPLEMENTS, SURGERIES, OR ANY OTHER HEALTH CONDITIONS:
FOR WOMEN ONLY- DESCRIPTION OF ANY INFORMATION ABOUT HORMONES, PREGNANCY, HORMONE THERAPY, PRE/POST MENOPAUSE, ETC:
SUBMIT PHOTO OF FRONT VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF SIDE VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF BACK VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)

Add to cart
A CUSTOM PLAN + 6 MONTHS OF COACHING
Achieve lasting transformation with a custom meal plan and six months of coaching for continuous support, accountability, and adjustments to help you reach your goals.
$1,000.00

CLIENT INTAKE FORM *
Please fill out the nutrition form thoroughly to ensure we have all the details needed to tailor your plan. Once submitted, a team member will review your information and reach out within 2 business days to discuss the next steps!
FIRST & LAST NAME:

EMAIL:

PHONE NUMBER:

TODAY’S DATE:

CURRENT WEIGHT:

CURRENT HEIGHT:

CURRENT AGE:

BLOOD TYPE:

DESCRIPTION OF GOALS & REASONS FOR SEEKING COACHING:
DESCRIPTION OF WORKOUTS/CARDIO ROUTINE (IF ANY):
DESCRIBE YOUR RELATIONSHIP WITH FOOD AND CURRENT EATING HABITS:
DESCRIBE CURRENT MOODS, STRESS LEVELS, ENERGY LEVELS, AND SLEEP:
DO YOU DRINK CAFFEINE:
HOW MUCH WATER DO YOU CONSUME DAILY:
DO YOU LIKE SPICY FOOD?
LIST YOUR FAVORITE FOODS, TAKE YOUR TIME TO TRULY THINK ABOUT THIS!
DO YOU HAVE ANY FOOD ALLERGIES, INTOLERANCES, OR FOODS YOU WANT TO AVOID FOR ANY OTHER REASON?
LIST ALL MEDICATIONS, SUPPLEMENTS, SURGERIES, OR ANY OTHER HEALTH CONDITIONS:
FOR WOMEN ONLY- DESCRIPTION OF ANY INFORMATION ABOUT HORMONES, PREGNANCY, HORMONE THERAPY, PRE/POST MENOPAUSE, ETC:
SUBMIT PHOTO OF FRONT VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF SIDE VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF BACK VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)

Add to cart
ONE TIME PLAN
Need a fresh start? Our One-Time Custom Plan gives you a personalized meal plan based on your goals and needs, with the option to order meals prepped to fit your plan. No coaching, just a tailored plan to help you reset and crush your goals. Fill out the intake form, and we’ll get in touch with pricing and next steps!
$135.00

CLIENT INTAKE FORM *
Please fill out the nutrition form thoroughly to ensure we have all the details needed to tailor your plan. Once submitted, a team member will review your information and reach out within 2 business days to discuss the next steps!
FIRST & LAST NAME:

EMAIL:

PHONE NUMBER:

TODAY’S DATE:

CURRENT WEIGHT:

CURRENT HEIGHT:

CURRENT AGE:

BLOOD TYPE:

DESCRIPTION OF GOALS & REASONS FOR SEEKING COACHING:
DESCRIPTION OF WORKOUTS/CARDIO ROUTINE (IF ANY):
DESCRIBE YOUR RELATIONSHIP WITH FOOD AND CURRENT EATING HABITS:
DESCRIBE CURRENT MOODS, STRESS LEVELS, ENERGY LEVELS, AND SLEEP:
DO YOU DRINK CAFFEINE:
HOW MUCH WATER DO YOU CONSUME DAILY:
DO YOU LIKE SPICY FOOD?
LIST YOUR FAVORITE FOODS, TAKE YOUR TIME TO TRULY THINK ABOUT THIS!
DO YOU HAVE ANY FOOD ALLERGIES, INTOLERANCES, OR FOODS YOU WANT TO AVOID FOR ANY OTHER REASON?
LIST ALL MEDICATIONS, SUPPLEMENTS, SURGERIES, OR ANY OTHER HEALTH CONDITIONS:
FOR WOMEN ONLY- DESCRIPTION OF ANY INFORMATION ABOUT HORMONES, PREGNANCY, HORMONE THERAPY, PRE/POST MENOPAUSE, ETC:
SUBMIT PHOTO OF FRONT VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF SIDE VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)
SUBMIT PHOTO OF BACK VIEW IN TIGHT FITTED CLOTHES OR GYM ATTIRE
(max file size 4 GB)

Add to cart

Choose Category

A CUSTOM PLAN + 3 MONTHS OF COACHING

CLIENT INTAKE FORM *

A CUSTOM PLAN + 4 WEEKS OF COACHING

CLIENT INTAKE FORM *

A CUSTOM PLAN + 6 MONTHS OF COACHING

CLIENT INTAKE FORM *

ONE TIME PLAN

CLIENT INTAKE FORM *