Hello, from Thrive Performance and Nutrition
Let's see if we are a good fit! Please answer the questions below. If there any questions that don't apply or you don't wish to answer, you can put N/A. I will then reach out to you to schedule a quick intro call. Looking forward to hearing from you.

Crystal
Owner/Coach, Thrive Performance and Nutrition

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Name *
First and last name
Email *
What is your birthday?
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What is your assigned sex at birth?
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Your height and current weight (you can share this later if you prefer, I'll need it eventually for calculations).
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Have you ever worked with a nutrition coach or completed a nutrition program? If so, please describe:
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What are your goals? Check all that apply:
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If you have a fitness tracker - which one do you use?
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Rate your current activity level:
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What does your exercise routine look like?
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What is your average step count?
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How many hours of sleep do you get nightly on average?
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How often do you drink alcohol?
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Do you drink coffee, tea, energy drinks? If so, how many each day?
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What diets have you tried in the past or are still doing?
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Do you have any food allergies or food preferences?
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Do you experience cravings? If so, please describe:
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How much water do you currently drink daily?
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Please list any supplements you currently take:
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How would you rate your current knowledge of nutrition including macros, calories, food groups, etc.?
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Please share a 24-hour diet recall with me as much detail as possible (Breakfast, mid morning snack, lunch, mid afternoon snack and dinner - all meals that are applicable). *
Have you ever been diagnosed with a medical condition? (ie. diabetes, a gastrointestinal disorder, thyroid disease, kidney disease, cancer, etc)
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Are you currently on any medication?
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Have you ever struggled with or have been diagnosed/treated with an eating disorder?
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What are your biggest challenges when it comes to nutrition?
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What have you tried in the past concerning your nutrition?
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What do YOU look for in a nutrition coach? Check all that apply:
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What is the best time to chat about my nutrition plans and address any questions you may have?
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Phone number *
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