Custom Meal Plan – New Client FormPlease enable JavaScript in your browser to complete this form.Full NameCurrent Weight (pounds)Height (feet and inches)What day of the week would you like your calendar to start?SundayMondayTuesdayWednesdayThursdayFridaySaturdaySelect the equipment that you have in your kitchen: Slow CookerPressure CookerAir FryerFood ProcessorBlenderWaffle IronWhich is your preferred diet type?Clean Eating30-day DetoxWhole 30Gut HealthDairy FreeGluten FreeDairy Free and Gluten FreePaleoPaleo – Autoimmune Protocol (AIP)MediterraneanVegetarianPescatarianGAPSKetogenicKetogenic Dairy-FreeLow CarbVeganNo preferenceIf you don’t have a specific diet in mind and would like a variety of nutritious meals, select “no preference”. Are there any foods that should NOT be included in your plan?List foods or ingredients that you want to avoid either because you just don’t like them or that you might be allergic/sensitive to. Are there any beverages on this list that you'd like included in your plan? (check all that apply)CoffeeMatcha TeaChai TeaElectrolytesProtein ShakesFresh Juice (fruits and/or vegetables)Fresh SmoothiesKombuchaOther (describe in the box below)None of the aboveIf you checked any of the above options, please provide additional detail. (How do you like your coffee/tea? What brand of electrolytes or protein powder? What do you put in your juices and/or smoothies?) This is a required field so if you answered “None of the above” please include “N/A” in the box below. Would you like me to provide you with a list of recommended supplements that align with your dietary needs to enhance performance?YesNoHow do you feel about including fermented foods in your plan?No, thank you.I’m open to trying them.Yes, please!How many people will you be cooking for?This number will be used to determine how many servings of each recipe will be provided.What is the maximum number of times per week you'd like to prepare/cook breakfast? Selected Value: 2 This number will help determine how many extra servings to cook so that you have enough for leftovers. If you select 1, you will prepare or cook enough of one recipe on Day 1 to serve as breakfast for the whole week. If you select 7, you’ll prepare or cook lunch every day.What is the maximum number of times per week you'd like to prepare/cook lunch? Selected Value: 2 This number will help determine how many extra servings to cook so that you have enough for leftovers. If you select 1, you will prepare or cook enough of one recipe on Day 1 to serve as lunches for the whole week. If you select 7, you’ll prepare or cook lunch every day.What is the maximum number of times per week you'd like to cook dinner? Selected Value: 2 This number will help determine how many extra servings to cook so that you have enough for leftovers. If you select 1, you will cook enough of 1 recipe on Day 1 to last the whole week for dinner. If you select 7, you’ll cook every night.Are there any additional factors you'd like considered? This is where you can get into the nitty gritty of what your needs are. The more information you provide, the more custom your plan will be. Examples may include: specific calorie or macronutrient goals, health or fitness related factors, whether you’re sticking to a specific grocery budget, number of ingredient in recipes, time spent on preparing breakfast, lunch and/or dinners, whether you want to include seasonal ingredients, number of snacks to include, specific meals such as morning smoothies, bulletproof coffee, etc). This is a required field so if you have nothing else to add, just simply type “N/A”. Submit