Name
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First Name
Last Name
Mailing Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
Email Address
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DOB
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Social media handles (IG, Twitter, etc.)
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How did you hear about us?
Primary Sport and/or Activity
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Current weight/goal weight?
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Main goal(s) in partnering with Team INPYN?
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Area(s) of struggle or concern?
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The biggest challenge in reaching my goal(s) will be?
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Current Eating: Please outline a typical day (meals plus snacks). Include estimates of serving sizes, times you eat, etc. and include as much information as possible.
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Do you have any food sensitivities or allergies? Please list:
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I love to eat/enjoy eating...
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I don't like eating/won't eat...
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What does a treat day look like for you? (If it's been a long/hard training day: Do you like sweets? Pizza? Chips?) Have fun, here.
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I cook at home X% of the time?
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10-30%
31-50%
51-80%
81-100%
When eating out, it's most likely going to be for?
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Breakfast
Lunch
Dinner
When eating out, it's usually because...
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of convenience
of a social gathering
I don't like to cook
I have a work/travel obligation
My level of comfort with cooking and/or meal preparation is:
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Please list any/all races you are planning on for 2016:
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Please list any/all training and race fueling you currently use-brands, timing, amounts of items are important:
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Please describe any failures you've had with race fueling (bonks, dehydration, stomach issues, etc.). This is CRITICAL information. Be as honest as possible.
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Coaching Preference: What kind of coaching do you respond best to: Strict check-ins and direct feedback, or a more encouraging and free flowing approach? How do you like to be supported when hitting challenges?
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INPYN CLIENT AGREEMENT: Thank you for your interest in INPYN services. Please read the following items for your information and initial. Disclaimer: By viewing INPYN.com, its blog, and related newsletter, as well as any specific client information, you understand and acknowledge that the information provided has not been evaluated by the FDA. Furthermore, INPYN.com recommends that you consult with your primary physician before starting any new exercise plan or change your dietary/nutritional habits in any way. As such, the information available via INPYN.com is not a substitute for, and should not be construed as individual medical advice. The products promoted and/or sold on this website are not intended to diagnose, treat, cure, or prevent any disease. Client Contract And Agreement: For Race Day Nutrition Plan (RDNP) services, a client will be billed once and pay once, per RDNP provided. For meal plans and coaching plans, a clients plan preference will be determined (either Basic or Advanced) and the client will be billed automatically each month on the first (1st) of the month for the entire month until such time as the client requests in writing at info@inpyn.com that invoicing cease. If a client chooses to temporarily cancel or suspend their account, INPYN cannot guarantee availability of services upon their request for return and the return may be subject to any changes or revision in plan fees, as well as the potential to be placed on a wait list. Billing: Clients may choose to alter their plan for the following month period (example: Switch from Basic to Advanced). Billing will continue automatically at the new plan rate until such time as a written request is received to alter/stop billing. For billing, clients will be required to go to www.inpyn.com and establish an account with INPYN. All personal information is secure and will never be shared outside of INPYN.com. All services are non-refundable. Terms: All services are confidential in nature, personalized in scope and are not to be copied, emailed, transferred, or otherwise shared in any fashion with any person, other than the person named on this document. Failure to maintain a degree of confidentiality may result in a loss of service delivery, termination of client services, and potential legal action. All collateral information delivered to a client is considered to be the property of INPYN.com in perpetuity. A detailed list of services and associated costs are available at INPYN.com and any additional questions may be addressed to info@inpyn.com and will be answered prior to the establishment of a client agreement. Any disputes shall be resolved as per the prevailing law in Fulton County, Georgia. This document outlines the entire agreement between INPYN.com and CLIENT. Initials are required.
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