“Welcome to the Bo Lamar Fitness zone. The only objective here is to make you better!
Physically - Mentally - Spiritually”

Meal Plan Questionnaire

Name:

First Name

Last Name

Email Address:

Gender:

Age:

Occupation:

What size do you currently wear?

How much do you currently weigh?

What is your goal?

(Check all that applies)

Lose Weight

Gain Muscle

Lose Body Fat

How much do you currently weigh?

How much do you want to weigh?

If goal is weight loss, what size do you currently wear? What size do you want to wear?

Are you currently on any medications?

(If yes, what medications and how often)

Do you currently take any vitamins or suppliments?

(If yes, what are you taking, when, and how often)

Do you have any allergies?

(If yes, list them here)

How many calories per day do you eat?

How many calories per day do you burn?

Do you have any food allergies?

(If so, please describe)

Do you eat Eggs?

Are you vegan or vegetarian?

(If so, what do you eat for protein)

What are your 8 favorite vegetables?

What are your choices of red meat?

What are your choices of poultry?

What are your 4 choices of fish?

What are your 4 choices or fruit?

What are your 4 choices of vegetables?

How much water do you drink per day?

What beverages (other than water) do you drink?

How many of these beverages do you consume per week?

What time do you start your day in the morning?

What time do you go to bed at night?

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