Your Name (required)

Your Email (required)

What are your short and long-term goals?

A typical 3-4 days of food ingested (times, portions).

Food aversions or allergies?

Water intake/alcohol intake/other beverages?

Supplement intake or daily medications?

Current training routine?

Any injuries, past surgeries, illness, meds?

Joint or bone issues?

YesNo

If yes, please explain:

Time of day you will be working out for food plan?

How many days are you realistically going to work out? (4-6 days)?

Dedication☺?

Weight? (lbs.)

Measurements

Body Fat % (if possible)

Your Photos (in bikini or underwear/bra)

1) Front
2) Back
3) Side

Your Message

Terms of Use

The advice and information contained in this program are the opinions of Rita Catolino and are not a replacement for medical advice. You should consult a physician before starting any diet or exercise program. If you choose to follow this program without consulting your physician, you are doing so at your own risk.

By submitting this form, you confirm that you have read and agree to the Terms of Use

Copyright

All material in this on-line program is, unless otherwise stated, the property of Rita Catolino. Copyright and other intellectual property laws protect these materials. Reproduction or retransmission of the materials, in whole or in part, in any manner, without the prior written consent of the copyright holder, is a violation of copyright law.