Nutrition Form

1

Name

First Name

Last Name

2

Email

example@example.com

3

Height?

4

Weight?

5

Age?

6

Goal weight or body composition goal?

eg. 75kg, I want to lose fat and gain muscle.

7

Any dietary restrictions?

eg. Vegetarian, vegan, gluten free..

8

Any allergies, foods you dislike or want to avoid?

9

What are your fav foods and meals?

Breakfast, lunch, dinner examples:

10

Go to snacks?

11

Any drinks you have regularly?

eg. Coffee, soft drinks, alcohol, energy drinks

12

How many meals do you prefer to eat in a day?

13

Do you like to cook or do you need quick/pre-made meal ideas?

14

Can you describe a typical day of eating for you right now? (From wake up to bedtime, with times of meals)

15

What are your favourite protein sources?

Chicken, beef, fish, eggs, tofu, protein shakes, etc.

16

Would you like ideas for protein/healthy snacks or do you prefer bigger meals without snacks?

17

Fav fruit and veggies?

18

Favourite takeaway/ cheat meals?

eg, GYG burrito, KFC Zinger, Choc milkshake

19

Is there anything else you think I should know to make this plan suit you?