Nutrition Consult
EKL Fitness
Personal Info
Name
Height & Weight
Phone Number
-
Area Code
Phone Number
Email
example@example.com
How do you feel about cooking?
Hate it! I order out as much as possible!
Dislike it, but I do it.
Like it
LOVE cooking
What are your main goals? Are there are health issues or symptoms I should be aware of? Do you experience any digestive issues? If so, do you have any known triggers? Lastly, do you follow a particular diet?
Do you have any food allergies or sensitivities?
Are there are health issues or symptoms I should be aware of? Do you experience any digestive issues? If so, do you have any known triggers?
What is your biggest challenge when it comes to planning, shopping, preparing, and eating healthy food as part of your lifestyle?
How many times a day do you like to eat, including snacks?
What do you drink all day? How much? Include alcohol and coffee.
Typical Breakfast(s) & time eaten Do you have time to cook breakfast in the morning?
Typical Lunch(es) & time eaten
Typical Dinner(s) & time eaten
Typical Snack(s) & times eaten
What are you favorite fruits & veggies? What are you favorite protein sources? What are your favorite carb sources (oats, potato, rice, bread, pasta, quinoa, beans, carrots, sweet potato, etc.)
Is there any other information you want Coach Erica to know before receiving your meal plan?
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