TRYM Fit - Nutrition

Nutravive

Personalized Nutrition Intake | Tim McComsey, RD | Plano, TX

Welcome! This form gives me everything I need to build your personalized meal plan. The more detail you provide, the better your plan will be. Please answer every section as completely and honestly as possible.

1 - Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Height *

Current Weight (lbs) *

Biological Sex

Goal Weight (lbs)

2 - Health Goals

Primary Goal - Select all that apply

Weight and Fat Loss

Muscle Gain and Body Recomposition

Maintain Current Weight

Athletic and Sports Performance

Improve Energy and Overall Health

Manage a Health Condition (diabetes, cholesterol, etc.)

Describe your goal in your own words *

Timeline or Target Date

What does success look like to you?

3 - Current Diet and Food Preferences

Current Diet Style

Meals and snacks per day

Typical wake-up time

Typical bedtime

Foods you love - be specific

Foods you dislike or will not eat

Walk me through a typical day of eating *

Do you cook at home?

Time available to cook per day

Daily water intake

Alcohol consumption

4 - Medical Conditions and Allergies

Food Allergies and Intolerances - Select all that apply

Dairy / Lactose

Gluten / Wheat

Tree Nuts (almonds, cashews, walnuts, etc.)

Peanuts

Shellfish / Seafood

Eggs

Soy

No known allergies or intolerances

Other allergies not listed above

Known medical conditions relevant to nutrition *

Current medications or supplements

5 - Activity Level and Schedule

Overall activity level

Workout days per week

Type of Exercise - Select all that apply

Weight and Resistance Training

Cardio (running, cycling, elliptical, etc.)

HIIT / CrossFit / Circuit Training

Sports (basketball, soccer, tennis, etc.)

Yoga / Pilates / Stretching

I do not currently exercise

Workout time of day

Work schedule

Anything about your schedule that affects eating (travel, early mornings, late nights, etc.)

6 - Meal Plan Preferences

Weekly grocery budget *

Preferred plan length

Meal plan style

Include snack ideas?

Preferred meal prep day

7 - A Little More About You

Previous diet or nutrition experience

Biggest challenge when it comes to eating well *

Anything else I should know before building your plan?

How did you hear about TRYM Fit?

Questions? (484) 881-1702 | [email protected]

You are all set!

Thank you for completing your Nutravive intake.
I will review everything and reach out within 1 to 2 business days with your personalized meal plan.

Questions in the meantime? (484) 881-1702