VYBE Nutrition — Client Intake

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About You

Full Name * Please enter your name

Email * Valid email required

Phone * Phone number required

Age * Required

Sport / Activity

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Body & Goals

Height * Required

Current Weight * Required

Goal Weight

Primary Goal *

🔥 Lose weight / cut fat 💪 Build muscle / bulk ⚡ Athletic performance & energy 🌿 Maintain & eat cleaner

Please select a goal

Activity Level & Routine * Required

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Food & Diet

3 Favorite Foods to Include * Required

Foods You Dislike or Want to Avoid

Allergies or Intolerances

Weekly Grocery Budget * Required

Preferred Grocery Store

Supplements You Currently Take

Plan Frequency *

5-Day Plan 6-Day Plan 7-Day Plan

5 or 6-day plans leave flex days for eating out or off-plan meals.

Please select a plan type

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Final Details

What Are You Signing Up For? *

📄 One-Time Plan — $40 📅 Monthly Coaching — $75/month 🏆 Full Coaching — $120/month

Please select a service

Anything Else I Should Know?

How Did You Hear About VYBE?

Your info is only used to build your plan. I'll reach out within 24 hours with next steps and payment info.

CLIENTINTAKE