Ordering Page

Step 1 of 4: Personal Info

First Name: [text enter REQUIRED]

Last Name: [text enter REQUIRED]

Email Address (required): [text enter REQUIRED, potentially integrate with Aweber]

Sex: Male / Female [drop down or check boxes]

Age: [text enter REQUIRED]

Current Weight (lbs): [text enter REQUIRED]

Goal Weight (lbs): [text enter REQUIRED]

Current Body Fat %: [text enter REQUIRED]

Goal Body Fat %: [text enter REQUIRED]

Fitness Club: [drop down, autofill or text enter OPTIONAL]

Personal Trainer/Coach Name: [text enter OPTIONAL]

Program Type: [drop down or check boxes for Program Descriptions] (*see below – have a description box hover over each program title or other solution ?)

PROGRAM DESCRIPTIONS (these should be some sort of hover over or linkable pop up text)

DNA NUTRITION PROGRAM – this program is only for professionals who are certified DNA weight loss and performance provider.  Only select this if you are able to provide the associated Genetic Coding for completion from C2DNA Labs.

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FOUNDATION FAT LOSS – is a program designed to increase lean body composition overcoming metabolic syndrome and many healthy lean body related challenges.  The Foundation Fat Loss Programs will return men to 15% body fat and women to 22% while optimizing healthy hormone balance.

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ADVANCED FAT LOSS PROGRAM – is a powerful program to increase the athletic appearance and performance with a focus on FAT LOSS and lean body mass it is designed for those with a primary goal of FAT LOSS. Advanced Fat Loss is just that a rapid fat loss program for an already healthy athletic individual to bring men below 15% t10% and women below 22% t17% bf, increase vitality, energy and maximize hormone (insulin/glucagons) output.

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ADVANCED LEAN BUILDER – is a powerful program to increase the athletic appearance and performance with a focus on LEAN MUSCLE Acquisition with a secondary goal of FAT LOSS. Advanced Lean Builder is a program focused on LEAN BODY [MUSCLE] INCREASE and fat loss for an already healthy and athletically appearing individual to bring men below 15% t10% and women below 22% t17% bf, with a focus on LBM INCREASE without the associated fat gains, enhanced vitality, energy and maximize hormone (insulin/glucagon) output

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ADVANCED MACRMASS – is a very unique program that is designed to maximize Lean Body MASS [LBM] and may be  ssociated with a slight increase in bodyfat percentage.  The Advanced MacroMASS program is not the “seefood” diet typically as­sociated with rapid mass and bulking programs, but an intelligent and healthy approach to BULKING and GROWING BIG and STRONG

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ELITE NUTRITION – is all about the elite physique augmentation special­ist. This is an ideal program trapidly reduce fat after you have achieved an already lean and athletic physique. Many professional fighters, fitness models and bodybuilders utilize the ELITE Nutrition strategies in the final stages of contest or event preparation.  ELITE NUTRITION will bring men below 10% bodyfat into the single digits and women belw15% t12%. ELITE NUTRITION programs are not typically as­sociated with long term lifestyles but a great beachbody or contest fine tuning program.

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ULTIMATE TRANSFORMATION NUTRITION PROGRAM is a system to accomplish the most dramatic results in the shortest time frame possible.  ULTIMATE NUTRITION strategically crafts 3 stages of nutrition into a contest prep or transformation challenge format for dramatic visual, physical, mental, hormonal and performance delivering results in a unique 12 week strategy. This is not for the faint of heart, but for those dedicated to changing their bod­ies and their lives in 12 short weeks from FAT to FIT to FABULOUS and FAST.

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Step 2 of 4: Goals and Scheduling

Client Information & Scheduling Instructions: Simply enter your personal information in the boxes provided. Select a primary goal based on what you’d most like to accomplish with your Personalized Nutrition Program, and then indicate your preference for how long you’re willing to spend preparing food. Finally, indicate your level of knowledge about nutrition and schedule.

PRIMARY GOAL

• Lose Body Fat/Weight
• Gain Muscle & Strength
• Improve Endurance
• Improve General Fitness
• Doctor Prescribed

FOOD PREP LEVELS:

• Casual / Moderate Prep Time
• Busy / Minimal Prep Time
• No Time, Simple Recipes, Snacks and Shakes

NUTRITION KNOWLEDGE

• Low
• Medium
• High

Client Schedule

Instructions: To enter your schedule, start by choosing the time you wake up each day in the Wakeup Time column. Schedule your workout times and types using the remaining columns. Starting with the “1st workout”, specify the time you work out in the Workout Times column and how long you spend doing sin the Dura­tions column. Finally, choose the type of workout in the Workout Types column. If you wish to schedule a second workout, move to the “2nd workout” row for that day and repeat the process. You can use the EZ Copy buttons to copy the day’s schedule to either the next day (Next), or the day after the next day (Skip).  Workout Types include: Weights, Cardio, Weights/Cardio, Flexibility, Hockey, Lacrosse, Football, Soccer, Martial Arts, Yoga, Other

Step 3 of 4: Notes, Allergies, Medical Concerns

Personal Notes, Allergies, Warnings, Special Requests [text entry boxes for each]

1. Personal Notes
2. Allergies, Health and Medical Warnings
3. Special Requests

Step 4 of 4: Ingredient Selections

NOTE TO CONTRACTOR: These should be in subsections and also in columns within their groups.

Client Ingredient Selection

Instructions: Please select the ingredients you’d like teat by checking the boxes. When you’ve finished your ingredient selections, click the Submit button at the bottom of the page to finish entering your information. Remember, the more ingredients you pick, the more variety you will have, because it allows our nutrition technicians tbe more creative with the meals they give you!

NEW SAMPLE FOR MACRONUTRIENT COLUMNS

PROTEINS

Best Meats

• Select ALL Best Meats
• Beef, lean cuts
• Bison/buffalMeat
• Chicken breast, deli-style
• Chicken breast, skinless
• Pheasant
• Quail
• Turkey bacon
• Turkey breast, deli-style
• Turkey breast, skinless
• Turkey, ground

Fair Meats

• Select ALL Fair Meats
• Chicken drumstick
• Chicken, dark, skinless
• Corned beef
• Goose
• Ground beef (<10% fat)
• Ham, deli-style
• Ham, lean
• Lamb, chop
• Lamb, ground (<10% fat)
• Lamb, lean
• Pork chop
• Pork, lean
• Turkey, dark, skinless
• Veal
• Venison

Fish

• Select ALL Fish
• Anchovies
• Bass, freshwater
• Bass, sea
• Bluefish
• Calamari
• Catfish
• Clams
• Cod
• Crab
• Crayfish
• Haddock
• Halibut
• Lobster
• Mackerel
• Mussels
• Oysters
• Salmon steak
• Salmon, canned
• Salmon, smoked
• Sardines, canned (not oil)
• Sashimi
• Scallops
• Shrimp
• Smelt
• Snapper
• Sole
• Swordfish
• Trout
• Tuna, canned in water
• Tuna, steak
• Whitefish

Egg Protein

• Select ALL Egg Proteins
• Egg substitute
• Egg-whites
• Eggs, whole

Vegetarian Protein Sources

• Select ALL Vegetarian
• Soy burger
• Soy hot dog
• Soy sausage
• Soy, ground
• Textured Vegetable Protein
• Tofu

Protein Powders

• Protein powder* Preselected
• Whey
• Egg Albumin
• Casein
• Soy
• Multi Blend

Mixed Dairy

• Select ALL Mixed Dairy
• Cheddar cheese
• Cheese, low or non-fat
• Cottage cheese, low-fat
• Feta cheese
• Goat cheese
• Hard cheeses
• Milk
• Mozzarella cheese, skim
• Neufchatel cheese
• Ricotta cheese, skim
• Soy milk
• Yogurt, plain

MIXED PROTEINS CARBS

Mixed Protein-Carb Vegetables

• Select ALL Mixed P/C
• Beans, mixed, various
• Lentils
• Lima beans
• Soybeans
• Tempeh

CARBOHYDRATES

Fruit and Juice

• Select ALL Fruits and Juices
• Apples
• Applesauce
• Apricots
• Bananas
• Blackberries
• Blueberries
• Boysenberries
• Breadfruit
• Cantaloupes
• Cherries
• Cranberries
• Currants
• Dates
• Elderberries
• Figs
• Fruit cocktail
• Fruit juice
• Gooseberries
• Grapefruits
• Grapes
• Guava
• Honeydew melon
• Kiwis
• Kumquat
• Lemons
• Limes
• Mandarin orange, canned
• Mango
• Mulberries
• Nectarines
• Oranges
• Papaya
• Passion fruit
• Peaches
• Peaches, canned
• Pears
• Pineapple
• Plums
• Pomegranate
• Prickly pear
• Prunes
• Raisins
• Raspberries
• Strawberries
• Tangelos
• Tangerines
• Tomato juice
• V-8 juice
• Watermelon

Vegetables

• Select ALL Vegetables
• Alfalfa sprouts
• Artichoke hearts
• Artichokes
• Asparagus
• Baked beans
• Bamboshoots
• Bean sprouts
• Beans, black
• Beans, green or yellow
• Beets
• Bok Choy
• Broccoli
• Brussels sprouts
• Butternut squash
• Cabbage
• Carrots
• Cauliflower
• Celery
• Cherry tomatoes
• Chestnuts
• Chickpeas
• Collard greens
• Corn on the cob
• Corn, baby ears
• Corn, canned
• Cucumber
• Eggplant
• Endive
• Jalapeno peppers
• Kale
• Kidney beans
• Leeks
• Lettuce, iceberg
• Lettuce, romaine
• Mushrooms
• Okra
• Onions
• Parsnips
• Peas
• Peppers (bell / cubanelle)
• Pickles
• Potato
• Radishes
• Sauerkraut
• Scallions (green onions)
• Shallots
• Snow peas
• Spinach
• Squash
• Sweet potato
• Swiss chard
• Tomatoes
• Tomatoes, sun-dried
• Turnip
• Turnip greens
• Water chestnuts
• Watercress
• Zucchini
• Grains, breads and cereals
• Select ALL Grains, Breads…
• Bagels
• Barley
• Bran cereal, all varieties
• Bulgar wheat
• Cereal, cold
• Cereal, dry
• Corn tortillas
• Cornbread
• Couscous, dry
• Crackers
• English-muffins
• Flour tortillas
• Granola
• Grits, cooked
• Matzo
• Melba toast
• Millet, dry
• Noodles, egg
• Oatmeal
• Pasta
• Pita
• Popcorn
• Pretzels
• Rice
• Rice-cakes
• Rye bread
• Sourdough bread
• Taco-shells
• Whole grain bread

ASSORTED (PROTEINS, CARBS, FATS)

Soups, Sauces And Spreads

• Select ALL soups, sauces…
• BBQ Sauce
• Beef and barley soup
• Beef and vegetable soup
• Chicken noodle soup
• Chicken vegetable soup
• Chili, canned
• Egg drop soup
• Guacamole
• Hummus
• Ketchup
• Lentil soup
• Minestrone soup
• Pea soup
• Salsa
• Tomato sauce
• Tomato-vegetable soup
• Vegetable soup
• Won ton soup

FATS

Fats – Best Choices

• Select ALL Fats – Best
• Almond butter
• Almonds, slivered
• Almonds, whole
• Avocado
• Cashews
• Coconut oil
• Hemp seed oil
• Low fat salad dressings
• Macadamia-nuts
• Olive or monounsaturated oil*
• Olives
• Peanut butter, natural
• Peanut oil
• Peanuts
• Pistachio-nuts
• Pumpkin seed oil
• Safflower oil
• Sesame oil
• Sunflower oil
• Tahini

Fats – Fair Choices

• Select ALL Fats-Fair
• Butter
• Cream (half & half)
• Cream cheese
• Cream cheese, light
• Mayonnaise
• Pecans
• Pumpkin seeds
• Sour cream
• Sunflower butter
• Sunflower seeds
• Walnuts

*Protein powder and unsaturated oils are required to ensure a correct macronutrient ratio using healthy, affordable sources of protein and fat. Please note that these are Pre Selected for optimal results and satisfaction.