• Your Feed — New Client Intake

    Complete this multi-page intake to help Gwen personalise your nutrition coaching, then submit for review within two business days.

  • Page 1 — Welcome and consent

  • Hi, I'm Gwen, nutrition coach and the cook behind Your Feed.

    Answer some quick questions about who you cook for, what you love, what you avoid and what you're working on, and I'll pick three recipes from my library and tweak them for you.

    They'll land in your inbox soon, with full nutrition info on each card. You'll also get my weekly recipe email, and you can unsubscribe with one click any time. It takes about two minutes.

  • Important Notice

    Your Feed gives general nutrition and recipe information from a qualified nutrition coach. It isn't medical advice and doesn't replace your GP, dietitian or other health professional.

    Nothing here diagnoses, treats or prevents any condition. If you have a medical condition, a food allergy, are pregnant or breastfeeding, or take medication, check with your doctor before changing your diet.

    Your dietary requirements and health focus are sensitive information: I use them only to choose and adjust your recipes, never for marketing, and you can ask me to delete them at any time. See the Privacy Policy and Terms of Service.

  • Consent and communications*

  • Page 2 — About you

  • Format: (0000) 000-000.
  • Date of birth*
     - -
    2 digit day, 2 digit month, 4 digit year

  • Page 3 — Your goals

  • What are your goals?*
  • Are you applying for Premium Personalised coaching with a blood test review?*

  • Page 4 — Health history

  • This helps Gwen keep your recipes safe and suitable. Share what you're comfortable with.
  • Diagnosed health conditions
  • Pregnancy or breastfeeding status
  • Life stage
  • Do you have a regular GP?

  • Page 5 — Medications and supplements

  • Are you currently taking any prescribed medication?*
  • Are you currently taking any supplements, vitamins or herbal products?*

  • Page 6 — Allergies, intolerances and food preferences

  • Food allergies*
  • Allergy severity*
  • Intolerances or sensitivities*
  • Eating pattern*

  • Page 7 — Lifestyle and daily routine

  • Who do you usually cook for?
  • How much time do you usually have for weeknight cooking?
  • What is your usual weekly food budget?
  • How many days per week do you usually exercise?
  • How much sleep do you usually get per night?
  • Do you smoke or vape?

  • Page 8 — Test results

  • Because you're applying for personalised coaching, please upload any recent blood test results you have. They're optional, and if you're unsure which tests are relevant, ask your GP.
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload a File
    Drag and drop files here
    Choose a file
    Cancelof
  • Date of most recent blood test
     - -
    2 digit month, 2 digit day, 4 digit year

  • Page 9 — Anything else

  • Should be Empty: