Book A Call | Catalyst Transformations LLC

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This intake form will give us the essential information we need to build your personalized plan. Please take your time and answer thoughtfully. It will take around 15–20 minutes to complete.

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First Name *

Last Name *

Email *

Phone *

Address

Street Address *

City *

State *

Country *

Postal code *

What is your age? *

What is your current body weight in pounds? *

What is your height in inches? *

Do you have any food allergies, aversions, or dietary/religious restrictions? *

What does a typical day of eating look like for you? *

Do you prefer grams or ounces as a unit of measurement? *

Grams

Ounces

Are you open to using a high-quality protein powder? It’s not 100% necessary, but it can make hitting your daily protein target much easier. *

Yes, I’ll use whey isolate

Yes, I’ll use vegan

No, I’d prefer not to use it

How many meals a day would you like to eat? The overall amount of food (calories and macros) will be the same regardless of what option you choose. *

3 meals - I want bigger meals

3 meals + a snack - I'm want smaller meals & a snack

Are you willing to cook leftovers at dinner for lunch the following day? We highly recommend this. *

Yes

How many drinks per week are you willing to cut down to? Less is obviously better.

What are your top 2-3 favorite breakfasts from the list below? *

How many days per week do you want to train and actually stick with? Go with what’s sustainable. It’s better to succeed with 3 than burn out trying to do 5. *

Will you be working out at home or at the gym? *

At Home

At the Gym

What’s the name and location of your gym? We’ll look it up to get a sense of the equipment available. If you’re training at home, type “At Home” and send a photo of your setup in Discord. *

Do you have any existing injuries or conditions that we should be aware of while building your training plan? *

Are there any exercises you cannot do or that cause you discomfort? *

If any, what supplements are you currently taking? *

If any, what medications are you currently taking? This includes things like blood pressure meds, antidepressants, or TRT (testosterone replacement therapy). Even if it feels minor, please list it.

Rate your current energy levels on a scale of 1-10 (1 = terrible, 10 = fantastic).

Rate your sleep quality on a scale of 1-10 (1 = terrible, 10 = fantastic).

Rate your current stress on a scale levels of 1-10 (1 = zen monk,10 = highly stressed).

What's your typical Blood Pressure reading?

Do you have any symptoms of low testosterone: poor libido / low sex drive, infrequent morning erections, difficulty building/maintaining muscle, low energy / motivation?

Do you experience joint pain, chronic bloating, or digestive issues?

Welcome to The Inner Circle

Step 1: Fill Out Your Intake Form