FITTKO BY JAY · NUTRITION SUPPORT

NUTRITION, HEALTH & WEIGHT MANAGEMENT SUPPORT

Struggling with nutrition? Unsure what to eat, how much to eat or why you're not seeing results? Our FITTKO coaches can help you understand food, calories, macros and healthier eating habits. Complete this form so we can understand your goals.

SECTION 1

About you

1. Full name *

2. Email address *

3. Contact number *

4. Age group *

SECTION 2

Current eating habits

5. How would you describe your eating habits? *

6. What do you struggle with most? * Tick all that apply

7. How many meals do you normally eat daily?

8. How often do you eat takeaway or fast food?

SECTION 3

Nutrition goals

9. What would you like to achieve? * Tick all that apply

10. Have you tried changing your diet before?

12. Do you track calories or macros? *

11. What made previous changes difficult? Tick all that apply

SECTION 4

Your lifestyle

13. How physically active are you?

14. How much water do you drink daily?

15. Do you follow any eating preferences? Tick all that apply

16. Are there foods you dislike or avoid?

SECTION 5

How FITTKO can help

17. What nutrition support are you looking for? Tick all that apply

18. How would you prefer support? *

19. When would you like to start?

20. Anything else our coaches should know?

21. May FITTKO contact you about your enquiry? *

* Required. Your information is used to respond to your nutrition enquiry. Please avoid including sensitive medical information. Jay aims to reply within 48 working hours.