Macro Portion Guide Questionnaire

Name: *

Email Address: *

Current Weight: *

Height: *

Gender: *
MaleFemale

Age: *
Must be 18 or older to fill out this form. For minors, please contact us directly.

How would you describe yourself? *
Please Select...A regular person or amateur athleteAn elite athleteA physique competitor, professional athlete, or model

Select A Nutrition Goal: *
Please Select...Lose Weight - I'd like to lose at least 10 to 15 pounds (or more)Build Muscle - I'd like to build muscle and increase overall body weightAthletic Performance - I want optimal nutrition to support long and intense athletic training (minimal to no weight change desired)Body Recomposition - I want to lose less than 10 to 15 pounds of body fat, while simultaneously building muscleImprove Health - I want to improve my nutrition and overall health, while maintaining my current weight.

Goal Weight:

Goal Completion Date:

Weekly Purposeful Exercise: *
Please Select...Very Light - Almost no purposeful exerciseLight - 1 to 3 hours of gentle to moderate exerciseModerate - 3 to 4 hours of moderate exerciseIntense - 4 to 6 hours of moderate to strenuous exerciseVery Intense - 7+ hours of strenuous exercise

Daily Activity Level Excluding Purposeful Exercise: *
Please Select...Very Light - Sitting most of the day (example: desk job)Light - A mix of sitting, standing, and light activity (example: teacher)Moderate - Continuous gentle to moderate activity (example: restaurant server)Heavy - Strenuous activity throughout the day (example: construction worker)

Dietary Preference: *
Please Select...Anything - No major preferences or restrictions, will eat practically anythingMediterranean - Features plant foods, healthy fats, and moderate amounts of lean proteinPaleo - Emphasizes meats, vegetables, and healthy fatsVegetarian - A plant-based diet, plus small amounts of eggs and dairyKetogenic - A high-fat, very-low carbohydrate dietFully Plant-Based - All plant-based foods, no animal products of any kind

Do you currently track calories or macros? If so, what is your daily average intake?

How many Meals Per Day do you prefer to eat (including snacks):

Would you like us to know anything else about your way of eating or your nutrition goals?
For example, 'My body responds well to low-carb eating,' or 'I can not eat large amounts of protein.'

Please Confirm:
I understand that the dietary advice provided by Heavy Metal Fitness (including macro and portion recommendations) is not to be considered medical advice. For specific nutritional health needs, I acknowledge that I need to consult my medical doctor.

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