Meal Plan Questionnaire

Meal Plan Questionnaire

I’ll create a custom meal plan based on your likes and dislikes. Each meal plan will include a shopping list, recipes and macronutrient breakdown. Please be as thorough as possible in your answers so I can create the best meal plan possible for your unique needs. Feel free to link recipes you love and use often if you would like them included. You will be charged $150 for your custom 7 Day Meal Plan. Please fill out ALL fields to help me, help you!
Full name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
About your current diet
How many meals a day do you eat?
Who shops in your household?
Where do you do your majority of grocery shopping?
Woolworths, Coles, Aldi, Local grocers etc..
Who prepares most of the meals in your household?
How many people do you usually cook for?
How many days a week do you eat away from the home (at sports events, work etc)
Do you need to have snacks/meals that are portable?
If yes, which days & meals are you away from the home?
What time do you have breakfast?
Describe your typical breakfast
What time do you have lunch?
Describe your typical lunch
What time do you have dinner?
Describe your typical dinner
What time/s do you snack?
Describe your typical snacks
Do you like sweet or savoury snacks?

SweetSavourySome of each
About your new meal plan

Tell me what you'd like to see in your new plan
What is your biggest challenge when it comes to eating healthy food as part of your lifestyle?

PlanningShoppingPreparingAutre
Are there any foods you will not eat due to sensitivities, allergies or religious reasons?
How much time do you have to spend in the kitchen each day?
Which best describes you?

I like to prep food in advance and eat the same meals for a few daysI want to spend more time cooking and have different meals each day
Tell me some of your favourite foods and meals to eat...
Pizza, bolognese, fish,
What best describes your current diet?

Omnivore (meat & plants)VegetarianVeganPlant-based (80%+ plants)PescatarianAutre
Would you like to eat the same type of diet (as above) or try something new?
Do you enjoy meat-free meals?

YesNoAutre
Which cuisines do you like?

MexicanItalianGreekAsianIndianCanadianAutre
Are you happy to try new meals, flavours and ingredients?

YesNoAutre
Are there any foods that you feel I must include in your meal plan? Such as coffee, tea, something sweet after dinner? Please be specific about milk brands, how many coffees/teas etc.
For main meals - Do you prefer to cook from scratch or use convenience products? Or a mix of both?

Cook from scratchConvenience productsBothAutre
For snacks - Do you prefer to cook from scratch or use convenience products? Or a mix of both?

Cook from scratchConvenience productsBothAutre
What is your typical weekly food budget?
What kitchen equipment do you have?
Slow cooker, food processor, thermomix, blender etc.

How would you rate your ability to cook?

	1	2	3	4	5

1 is Worst, 5 is Best

Is there anything else you would like me to know or consider when putting together your meal plan? *** Please link any recipes or meals you'd like me to consider adding here.
Your meal plan will be developed specifically for you. I may not be able to accomodate for all of your requests on this form. The reason you are seeking a meal plan is to try new things and eat a healthier diet. I will consider your choices and try my best to incorporate them into a new meal plan. Your meal plan is not meant to be adhered to long-term. A healthy diet requires a variety of foods which may be lacking in this one-week plan. For example, should you wish to try a vegan diet, supplements would be required for ongoing adherance to this style of eating to prevent deficiencies.
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Meal Plan Questionnaire

About your current diet

About your new meal plan