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Step 1 of 4
Current Body Weight
Ideal Body Weight
What you're looking for...
Do you want to see changes in your body weight or composition?
If so, describe the types of changes would you like to see.
What are your health, lifestyle and dietary goals?
The more details the better.
Have you ever followed a diet?
If so, describe your experience.
What do you hope to achieve through working with a nutritionist?
Do you exercise regularly?
How often and what type of exercise?
Do you feel your current diet is healthy?
What do you think your current diet is lacking?
Do you have any digestive issues?
What kind and how often?
Do you have a bowel movement every day?
Rate your average daily energy on a scale of 1 to 5.
1 being you're constantly dragging and 5 being you've had 10 cups of coffee.
Tell me about your current diet...
How many times do you eat per day?
Describe your typical breakfast & at what time you eat it.
Describe your typical lunch & at what time you eat it.
Describe your typical dinner & at what time you eat it.
Describe your typical snacks & at what times you eat them.
How many meals per week do you eat out?
4 or more
What is the most common meal you will eat out for and why?
Let's talk about meal planning...
What is your motivation for seeking out a meal plan?
Are there any foods you will not eat due to sensitivities, allergies, or religious reasons?
How much time would you ideally want to spend in the kitchen per day?
What are some of your favorite foods to eat?
What excites you about having or following a custom meal plan?
Is there anything that scares you or intimidates you about following a meal plan?
Is there anything else about yourself that you would like to share with me to help in building your meal plan?
Which food prep style best describes you?
I like to prep food in advance and eat the same meals for a few days
I want to spend more time cooking and have different meals each day
Additional Comments or Questions