"*" indicates required fields Step 1 of 3 33% First name*Last name*Email*Please use the exact email you entered when signing up Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Date of birth* MM slash DD slash YYYY We are going to ask some questions to establish your metabolic rate. We need this information to correctly determine your metabolic rate to provide accurate calorie/protein/fiber goals.What is your biological sex?* Male Female Preferred unit of measurement* Metric (kg, cm) Imperial (lbs, in) Weight (lbs)*Weight (kg)*Height (in)*Height (cm)*This field is hidden when viewing the formEstimated Body Fat (%)*Use the reference image below and enter a whole number.Please enter a number from 5 to 60. Male Bodyfat Reference Images Female Bodyfat Reference Images Primary goal* Lose weight Gain muscle General fitness This field is hidden when viewing the formAt what pace do you wish to achieve your goal(Slow Recommended)?* Slow Medium Fast Level of training experience* Beginner Intermediate Advanced Equipment access* Commerical Gym Apartment Gym Home Gym This field is hidden when viewing the form**How many days per week would like to workout?* 3 4 5 6 This field is hidden when viewing the formCurrent injuries* Lower back Shoulder Hips Knees None of the above Daily activity level* Sedentary Lightly active Moderately active Very active This field is hidden when viewing the formNutrition Preference* Balanced Low carb Low fat High Protein This field is hidden when viewing the formDietary preference* No Preferences Vegan Vegetarian with eggs Vegetarian with dairy Vegetarian with eggs and dairy Pescatarian Paleo This field is hidden when viewing the formNIX – Select any foods you would like to avoidBased on the selection to avoid foods, Trainerize meal plans will be generated. fish shellfish eggs dairy soy gluten treeNuts peanuts meat This field is hidden when viewing the formNIX – What habit(s) would you like to work on?*Select up to three Eat more protein Eat good fats Eat complex carbs Eat more vegetables Follow portion guides Practice eating slowly Eat until 80% full Prepare your own meals Drink only zero-calorie drinks Abstain from alcohol Increase movement throughout the day Workout more consistently Make exercise fun Recruit social support Reward yourself after workouts Prioritize self-care Celebrate your wins Avoid screens before bed Practice a bedtime ritual
