HITMAN NUTRITION
HITMAN NUTRITION
Client Intake Form
828-855-6990
Hitmannutrition13@gmail.com
// Intake Form — Begin Here
YOUR PLANSTARTS NOW
Complete this form and we'll build a fully personalized plan around your goals, body, and lifestyle. Takes about 4 minutes.
Personal Body Lifestyle Health Diet Plan
// 01 of 06
PERSONAL INFO
Let's start with the basics.
Required.
Required.
Valid email required.
Required.
// 02 of 06
BODY METRICS
Accurate numbers let us calculate your exact caloric needs and training zones.
Required.
Required.
Activity Level
Sedentary
Lightly Active
Somewhat Active
Very Active
Body Goal
Lose Body Fat
Build Lean Muscle
Body Recomp
Maintain
// 03 of 06
LIFESTYLE & EQUIPMENT
We build your program around what you actually have access to.
Available Equipment
Barbell & Rack
Dumbbells
Peloton / Bike
Treadmill
Pool
Resistance Bands
Pull-Up Bar
Kettlebells
Bodyweight Only
Gym Membership
Time Per Session
Under 30 min
30–45 min
45–60 min
60–90 min
90+ min
// 04 of 06
HEALTH HISTORY
Keeps your plan safe and built around your real body.
Medical Conditions
Pre-Diabetes
Type 2 Diabetes
High Blood Pressure
High Cholesterol
Heart Disease
Arthritis
Thyroid Condition
None
Injuries / Joint Issues
Knee Pain
Lower Back Pain
Shoulder Issues
Hip Pain
Previous Surgery
No Injuries
// 05 of 06
DIET & GOALS
Your food preferences and what you actually want to achieve.
Diet Style
Southern Cuisine
Fish & Seafood
Mediterranean
Low-Carb / Keto
Plant-Based
High Protein
No Preference
Top Goals
Lower A1C
Build Lean Muscle
Heart Health
Lose Body Fat
More Energy
Better Sleep
Reduce Joint Pain
Athletic Performance
0/500
// 06 of 06
CHOOSE YOUR PLAN
Select the tier that fits where you are right now.
T1 // THE BLUEPRINT
THE BLUEPRINT
Nutrition-only. Your personalized macro targets, meal structure, and food list — built for your goal. Bonus starter training schedule included.
Nutrition PlanMacro TargetsMeal StructureFood ListDigital PDF
$25/mo
T2 // THE FULL PLAN
THE FULL PLAN
Everything in The Blueprint plus a complete 4-week training program tailored to your equipment and goals.
Nutrition Plan4-Week TrainingEditable PDFEquipment-Specific
$40/mo
Most Popular
T3 // THE ELITE PLAN
THE ELITE PLAN
Everything in The Full Plan plus a supplement protocol, editable PDF, and a Week 2 check-in where we review and adjust.
Full PlanSupplement ProtocolWeek 2 Check-InEditable PDF
$65/mo
T4 // NEXT LEVEL COACHING
NEXT LEVEL COACHING
Everything in The Elite Plan plus weekly check-ins all month and a full end-of-month review with next-step recommendations.
Elite PlanWeekly Check-InsMonth-End ReviewAlways Available
$100/mo
TARGET ACQUIRED
Your intake form has been submitted to Hitman Nutrition. We'll review your info and reach out within 48 hours.

Questions? Call or text 828-855-6990 or email Hitmannutrition13@gmail.com