Nutrition consultation intake
A dietitian or coach intake covering goals, current eating habits, dietary needs and lifestyle, so the first session is spent on advice not admin.
About 5 min to complete. nutrition, dietitian, wellness.
Use this templateQuestions in this template
- Your name
- What are you hoping to achieve?
- Do you follow or avoid any of these?
- How many meals do you eat on a typical day?
- How often do you cook from scratch?
- Glasses of water on a typical day
- Anything your dietitian should know, such as diagnoses, medicines or allergies?
- How much do you spend on food each week?
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Let's talk about food, simply.
No judgment, no perfect answers. Tell us how you eat now and what you want to change.