AVAILABILITY

Your nutrition profile form has been received! Please fill out the form below and let us know your availability for your consultation. After receipt, we will respond via email with a confirmation date and time for your call.

Let us know when you are available to receive a call for your consultation.

IMPORTANT: It’s crucial that you complete this section with attention to detail, clearly outlining when you are available in the space provided for additional comments at the end of this form. We will use this information to find the most suitable time for our consultation call. Please look out for a confirmation email or text from us within the next 24-48 hours to finalize the schedule for our call. Thank you!

"*" indicates required fields

Name*

First Last

Email*

Phone*

Would you like us to confirm the meeting time via a text message? (Optional)

Yes, I would like to receive text messages from Get U Fit at the phone number provided above. I understand I will receive 2-3 messages regarding this appointment, data rates may apply, reply STOP to opt out.

Select Availability

Day

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Morning (8am - 12pm)*

Monday

Tuesday

Wednestday

Thursday

Friday

Saturday

Sunday

Afternoon (12pm - 4pm)*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Evening (4pm -8pm)*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Weekly Exercise Information

Please provide details about your weekly exercise routine.

Your Resistance Exercises*

(e.g., Push-ups, Squats)

Days Per Week*

How many days do you do resistance workout on a weekly average?

Duration Per Session*

How long is your each resistance training session on on a weekly average?

Your Cardiovascular Exercises*

(e.g., Running, Cycling, etc)

Days Per Week*

How many days do you do cardiovascular workout on a weekly average?

Duration Per Session*

How long is your cardiovascular exercise on a weekly average?

Your Sport Activities*

(e.g., Soccer, Tennis, etc)

Days Per Week*

How many days do you do a sport activity on a weekly average?

Duration Per Session*

How long is your sport activity on a weekly average?

Your Food Preferences

Please list your favorite and disliked items in the categories below. Examples are provided to help clarify the types of information requested.

When entering this section, please take your time to answer the questions thoughtfully. Your responses will guide us in personalizing a meal plan tailored just for you. The more information you share, the better we can customize it to meet your needs.

Favorite Proteins*

(e.g., Grilled chicken, Baked salmon, Edamame)

Protein Dislikes*

(e.g., Pork chops, Canned tuna, shrimp)

Favorite Carbohydrates (Starches)*

(e.g., Quinoa, Sweet potatoes, Whole grain bread)

Carbohydrates Dislikes (Starches)*

(e.g., Spaghetti, White rice, oatmeal, Brown pasta)

Favorite Vegetables*

(e.g., Kale, carrots, asparagus, spinach)

Vegetable Dislikes*

(e.g., Brussels sprouts, peas, okra)

Favorite Fruits*

(e.g., Blueberries, Kiwi, Watermelon)

Fruits Dislikes*

(e.g., Figs, Honeydew melon, banana)

Favorite Nuts (Raw, Roasted, or Both)*

(e.g., Pecans, Pistachios, Raw almonds)

Nut Dislikes*

(e.g., Soy nuts, Peanuts, Cashews)

Favorite Dairy Products*

(e.g., Cheddar cheese, Feta cheese, Cottage milk)

Dairy Product Dislikes*

(e.g., Parmesan cheese, Milk, Flavored yogurt)

Favorite Dairy-Free Products*

(e.g., Almond milk, yogurt, Cashew milk)

Dairy-Free Product Dislikes*

(e.g., Soy milk, Cottage cheese, Oat milk)

Fats and Oils Favorites*

(e.g., Avocado oil, Flaxseed oil, Olive oil)

Fats and Oils Dislikes*

(e.g., Peanut oil, Palm oil, Vegetable oil)

Favorite Dressings*

(e.g., Lemon tahini dressing, Apple cider vinaigrette, Greek yogurt dressing)

Dressing Dislikes*

(e.g., Creamy Caesar, Honey mustard, Store-bought Italian)

Favorite Condiments (Seasonings)*

(e.g., Fresh herbs, Turmeric, Pepper, Mustard)

Disliked Condiments (Seasonings)*

(e.g., Relish, Barbecue sauce, Ketchup)

Favorite Beverages*

(e.g., Herbal tea, Sparkling mineral water, Coconut water)

Beverage Dislikes*

(e.g., Soda, Fruit juice, Milk, Vegetable juice)

Favorite Snacks*

(e.g., Hummus with veggies, Air-popped popcorn, Rice cakes)

Snack Dislikes*

(e.g., Chips, Granola bars, Microwave popcorn)

Daily Routines

What time do you normally wake up during the week? On the weekend?*

What time do you normally go to bed during the week? On the weekend?*

Do you take any supplements?*

Yes

If yes, list below, including the amounts and how many times/day.*

Your Health and Habits

Do you smoke?*

Yes

If yes, how many cigarettes/packs per day/week and how long?*

Do you drink alcohol?*

Yes

If yes, what types and how much do you consume per day/week?*

Do you have any allergies/Intolerances to any foods?*

Yes

If yes, please list what food(s) you're allergic to below.*

Have you ever been on a nutritional program?*

Yes

If yes, please explain and what was your experience.*

Are you in perimenopause or menopause?*

Yes

No / Not Applicable

If yes, are you finding it harder to lose weight? If so, please describe your challenges.*

Feel free to include any additional comments or questions you may have including specific details about your availability for the consultation call:

AVAILABILITY

Let us know when you are available to receive a call for your consultation.

Select Availability

Weekly Exercise Information

Your Food Preferences

Daily Routines

Your Health and Habits

Appointments Only

Personalized Fitness: (909) 621-0066

Hypnotherapy & Wellness Massage: (909) 621-0002

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