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Online Ambassador Signup

  • JCN Online Nutrition Consultation

  • You are about to begin your Jake Campus Nutrition online consultation and sign up process.

    We are diving in to understand your current diet, exercise, and most importantly GOALS. You will be required to set up your payments before submitting your details. Please ensure you have read the terms and conditions of the program before submission.
  • Personal Details

  • Date Format: MM slash DD slash YYYY
  • It is company policy to be over the age of 18 to participate on our online program.
    Please only select one option
  • We will be encouraging a Lifestyle change approach and as company policy will not work on fat-loss through pregnancy.
  • Photos showcase a better all-round starting point and further down the track your results – our bodies can transform in many different ways – not just weight.
  • Write number only in Cm
  • Is your partner or flatmate on this journey with you and also following a plan? If so let us know we can work plans in together to make prep in the house hold easier.
  • We would greatly appreciate you letting us know how you found out about our services:
  • Medication, Illness, Intolerances & Allergies

    We need to dive deep into your current health so we can know all the factors that contribute to your diet. Remember I the terms and conditions we do recommend having a medical checkup. Whether you choose to do so or not is your decision.
    Please only select one option
  • We'd like to start you on the JCN change program! Due to the nature of the online program, we recommend the change approach over the result. Your safety is the most important thing to us and to ensure we continue to nurture a healthy relationship with food we believe this is the best focus to start with. Please be mindful any concerns for your safety may occur in us recommending a specialist.
  • We'd like to start you on the JCN change program! Due to the nature of the online program, we recommend the change approach over the result. Your safety is the most important thing to us and to ensure we continue to nurture a healthy relationship with food we believe this is the best focus to start with. Please be mindful any concerns for your safety may occur in us recommending a specialist.
  • JCN Plan Goals & Limitations

    Lets start by understanding the approach you'd like to take to get started then set some goals.
  • You can only select ONE option. This will determine your starting journey with us. **Lifestyle Results**: Focuses on your goal and has a stricter initial program to focus on the results you want but leads into a maintenance approach to maintain your results longterm. **Lifestyle Change**: Discover a healthy balance with the JCN team. Includes; eating out advice and options as well as recipes. Please bare in mind whilst the change plan may result in weight loss this is not the focus. If your core focus is weightloss we encourage starting with a result approach.
  • A smart goal includes all points below. Whilst we are working for a result we also want to create LONGTERM results. So we must be realistic. S:pecific M:easurable A:chievable R:ealistic T:imely You may have to make some short term sacrifices in order to reach you goal but we must keep in mind the long game.
  • Example; Keto, Low carb, Weight Watchers, Paleo, Shake Meal replacements.
  • Physical Activity

    We need to understand what type of physical activity you are currently doing or able to get into your day to help us build a plan to achieve your goal.
  • Lifestyle Food & Habits

    Be honest and let us know everything! Foods you like, dislike, current habits and anything else we should know. The more information the better we can work with to create the best plan for you.
  • You are not required to do this on our program, however if its something you are currently doing and plan to keep doing we will use this tailor our approach to fit!
  • Food Log

    To assist you in reaching your goals and to customise the best nutrition plan for you, it is important to know your current eating habits. On the following page please write down everything you eat and drink including the time and quantities. Do not try to change your eating habits during the Three Day Food Log. Helpful Hints • Record what you have eaten as soon as possible after meals. • Preparation: How was the food cooked? Was it baked, grilled, fried or steamed? Was it fresh, frozen or canned? • Portion Size: Indicate how much of each food you eat by using cups, grams, teaspoons, or tablespoons, or a “handful.” • Include the fluids that you drink: List the amounts, types and times that you drink them. • Include the “extras” or condiments you eat: Do you put milk or sugar in coffee or tea? Do you use tomato sauce, mustard or mayonnaise etc. on your meals? • Workouts: Record the time and short explanation of your workouts. • Notes: Make note of how you are feeling throughout the day (e.g. are you hungry, low in energy etc.)
  • Average Week day

  • Average Weekend diet

    Weekends can tend to differ to our weekly diet as we may be out and about, away from home, indulge in eating out or your diet may be the same as your weekday.
  • Please read carefully before submitting application.
  • We recommend all clients have a medical checkup prior to starting their nutrition program By accepting the terms and conditions below you understand it is your responsibility whether or not you choose to have this checkup and that any health issues or mental illnesses prior or throughout your program must be shared with Jake Campus Nutrition. You understand that the team at Jake Campus Nutrition are not medical physicians, they consult and recommend nutrition services only. If you have any future queries or concerns regarding your meal plans or health you will inform the team at Jake Campus Nutrition immediately. For medical advice you know to seek your doctor for further assessment and share these results with your nutritionist. Your Jake Campus Nutrition plan has been customised to you and your lifestyle.

    All JCN online programs are for ages 18+by ticking below you give consent you are 18 or over. If you seek nutritional advice and you are under the age of 18 you must contact our customer support team to discuss our options.
  • Terms and Conditions for Customers
  • OUR VALUES
  • FAQ
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  • Login
  • ONLINE SERVICES
    • Online Lifestyle Nutrition
    • Performance Nutrition
  • In-house Appointment
  • More
    • free recipes
    • One-off plans
    • Training plans
    • About JCN
    • Contact Us
  • Shop JCN

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