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Meal Plan Questionnaire
Please fill out the form to the best of your abilities! After sending your form, we can go over it again for any needed changes.
Rate of Activity* ( 1 - 10 )
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Goals & Conditions
Get creative here! You can also just blast through it, but take time to express! It will only help you identify what YOU need to do.
What are your main goals?
Are their health issues or symptoms I should be aware of?
Do you experience any digestive issues? If so, do you have any known triggers?
Activity (include type, frequency, intensity & duration)
Dietary Preferences
Do you follow a particular diet?
Do you have any food allergies or sensitivities?
Which meal is typically the biggest for you?
Do you prefer to include snacks or stick to 3 meals?
Typical Breakfast(s) & time eaten
Do you have time to cook breakfast in the morning?
Typical Lunch & time eaten
What are your favorite fruits?
What are your favorite veggies?
What are your favorite protein sources?
What are your favorite carb sources (oats, potato, rice, bread, pasta, quinoa, beans, carrots, sweet potato, etc.)
Drinks (include quantity & type/details Water, Coffee, Pop, Juice, Tea, Alcohol, Smoothies, Other ect.)
Dietary Preferences
How do you feel about leftovers? If you enjoy them, how many days in a row do you eat the same meal?
When you don’t know what to eat/don’t have time, what are you go tos?
Do you enjoy cooking?
Are you willing and able to commit to give 2-3 hours towards food prep each week? Yes or No — If no, what can you give?
Do you prefer cooking each night or prepping on the weekend?
What is your biggest challenge when it comes to planning, shopping, preparing, and eating healthy food as part of your lifestyle?
Do you prefer a recipe style meal plan (specific ingredients, amounts & directions) or template style (eg. 4 oz protein, 2 cups vegetables, 1 tsp oil)?
How did you find me?
Google Search
Social Media (instagram/facebook)
Referral
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