Application for Simple Carnivore Transition Package

This application form will provide the basic information I need to personalize your program and guide. Once payment has been received, I will mail or direct-message additional information and, if needed, some follow-up questions to customize your plans further.
Please answer all questions as accurate and concise as possible.

Name *

First

Last

Email *

Your current location (City, Country):

Your current age: *

Your height (in inches or centimeters): *

Your current morning weight (in pounds or kilograms): *

Do you currently lift weights?

Do you regularly lift weights? If so, how often and for how long?

Do you do any other type of exercise?

If, so please write a brief review of what you do on a weekly basis.

Have you been physically active in the past? *

Have you exercised or done sports in the past? What and how long ago?

How is your living situation?

Do you have children, pets or anything that take time and energy?

What do you do for a living? *

If you work or study, what are your hours?

Describe your working hours and if you can bring food and/or when you normally eat your meals during work.

How would you rate your physical activity? *

How physical is your job, how physical are you during the rest of the day (besides from exercise.)

Do you have any diagnosed health problems or handicaps?

Are you currently on any medications and/or drugs?

Are you currently undertaking any kind of therapy or rehabilitation?

Do you have any known food allergies?

Are you aware of any foods that you are particularly sensitive to (i.e., which causes bloating, stuffiness, congestion, gas etc.)?

Do you currently take any supplements?

Are you currently taking any health- nutrition- or sports-supplements, stimulants or fat burners?

Have you been on a 'diet' recently?

Have you tried to lose body fat within the last 2 to 3 years? If so, describe the method and your experience in 200 words or less.

How many meals a day are you currently eating?

How many meals and snacks do you have in a day on average?

What are the typical staple foods of your current diet? (Especially carbohydrates, if any)

What kind of foods do you typically consume over the span of a week?

Do you have any of the following:

• Larger tattoos (larger than your fist)
• Body piercings
• A smart-meter attached or near your house/apartment
• A WiFi router/repeater in a room you spend a lot of time in
• Mobile tower/transmitter close to your home or work area

Do you use any of the following:

• Cosmetics/make-up such as foundation, powders, lipstick/gloss
• Perfume/fragrance, aftershave
• Detergents and softeners with perfume (when washing clothes)
• Shampoo and/or conditioner
• Hand sanitizers and wipes
• Commercial toothpaste or mouthwash

Is there anything else you like to gain from our species-appropriate diet?

Aside from learning how to adopt and tweak our species-appropriate diet to feel better, have more energy, and live longer, is there anything else you’re looking for, as in healing injuries, treating diseases, etc?

What communication platform would you like to use? *

• Facebook Messenger
• Telegram
• WhatsApp
• Skype
• LINE Messenger
• I want to use email

What is your username or contact address for that platform? *

The username or link to your profile (or email, if you prefer.) I will add you and open up our support chat that way.

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