First name
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Last name
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Email
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Confirm email
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Which program were you interested in investing in?
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3-Month
6-Month
9-Month
City & State (or country, if outside of the States)
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Age
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Height
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Current Weight
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How many weeks postpartum are you?
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Please tell me your pre-pregnancy weight for this most current pregnancy.
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What is your goal weight?
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Please tell me a little bit about yourself and your family.
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Please tell me about your current activity and nutrition habits and how they compare to where you would like them to be.
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How well-versed are you with tracking macros?
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I have never tracked or counted macros before.
I have tracked calories but don't really know how to track macros.
I know how to track macros fairly well, but I have a difficult time meeting them.
I am very experienced with tracking macros, but I am confused on how to do it while breastfeeding.
I am very experienced with tracking macros and have no problem with compliance, but I would like accountability and guidance while breastfeeding.
Please describe your planned form of formal exercise activity.
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Are you currently breastfeeding? If not, please skip the next two questions.
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Yes
No
Are you exclusively breastfeeding? Supplementing with formula? How much of each?
If nursing, do you have access to a breast pump? Is so, please state the brand and model.
Are you planning to get pregnant in the near future?
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Yes
No
Do you have any medical conditions that I should be aware of?
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Please let me know how you heard about me.
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Any thing else that you would like to include?
Please email me at kristina@fitforwardmom.com if you have any difficulties submitting your application.
Apply