About
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Work With Me
About
Contact
Work With Me
About
Contact
Work With Me
ARVAmethod Meal Plan Questionnaire
Email
*
Name
*
First
Last
Age
*
Gender
*
Male
Female
Height (Cn)
*
Weight (kg)
*
Daily Activity Level
*
Sedentary: exercise less than 1 day per week
Moderate: exercise 1-2 days per week
Active: exercise 3-5 days per week
Very active: exercise 6-7 days per week
Athlete: sports training 6-7 days per week
What is your goal for this meal plan?
Lose weight and reduce body fat
Maintain current weight and energy
Build muscle and improve energy
How agreesive do you want your weight loss plan to be?
Easy to maintain (slow and steady results)
Moderately challenging (may slightly reduce energy and increase hunger)
Agressive (will increase hunger and may impact energy – LIMITED TO 30 DAYS)
How quickly are you comfortable with seeing gains?
Slow and steady (easiest to get used to)
Moderately challenging (gains to mass and weight within 30 days)
Agressive (rapid gains in mass and weight, must maintain consistant training schedule – LIMITED TO 30 DAYS)
How confident are you in your ability to stick with your meal plan?
Very confident – I’ve got this
Somewhat confident – I may have some struggles
Not very confident – I will struggle and may quit
Please select your preferred style of eating
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No restrictions
Vegetarian
Vegan
I would like to avoid eggs
I would like to avoid eggs
I would like to avoid dairy
I would like to avoid dairy
I would like to avoid gluten
I would like to avoid gluten
I would like to avoid tree nuts
I would like to avoid tree nuts
I would like to avoid red meat
I would like to avoid red meat
I would like to avoid shellfish
I would like to avoid shellfish
I would like to avoid pork
I would like to avoid pork
What do you feel is your biggest challenge with food and nutrition?
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Not knowing what to eat
Self control
Planning
Other
Is there anythign else you'd like to tell me about your nutrition goals, habits, or concerns?
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