Nutrition Coaching Intake form template
Clients share goals, eating patterns and dietary restrictions. Allergy and condition follow-ups appear only when flagged, a habits score is tallied, and jumps route to a Reset, Balance or Optimise plan — with a referral route for anyone reporting a medical dietary need.
What’s in the box
Habits scored
Current eating patterns set your personalised starting plan.
Safe personalisation
Allergy and medical questions appear only when relevant.
Three plans
Reset, Balance or Optimise — plus a referral for medical needs.
Perfect for
- Nutritionists
- Dietitians
- Wellness coaches
- Gyms
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