Let’s Get Started

Name

Height

Current Weight

Do you have any food allergies

Do you have any medical conditions?

Bulking, Cutting or Combo*

I want to Cut Weight

I want to Bulk

I want to finish cutting, then maintain

I want to finish cutting, then bulk

What is your end goal?

Shredded - 7 - 11% Body Fat

Lean (6 pack) - 12 - 15% BF

Healthy - 16 - 20%BF

Healthy Dad Bod - 20- 25% BF

Protein: Something Else

What is your weekly food budget

Less than $100

Less than $150

$150+

Do you absolutely hate any of the following foods?

Food Id like to see?

How Active are You?

Currently Inactive (desk job)

5 - 10k steps workout 1-3 times per week

10k + steps, workout 5+ times per week

Food consumption - Average daily food consumption

What is your favorite vegetable?

What is your favorite fruit?

What is your favorite Meat/Fish?

Do you workout?

Phone Number*

Intake Questionnaire. Please be extremely specific the better information I have the better I will be able to help you achieve your goals.

Please send shirtless photo to ryanpassarellifitness@gmail.com *Any private information and/or photos received will not be shared online or with anyone/entity, unless it is required by law.

Let’s Get Started

Intake Questionnaire. Please be extremely specific the better information I have the better I will be able to help you achieve your goals.

Creating Strong Men