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Nutrition consultation form template

Find out what a client actually eats before the first session, not what they can recall on the spot. Collect eating patterns, health history, goals, and restrictions in one intake.

Nutrition consultation form template

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Ask a client what they eat in a typical day and you get the version they can reconstruct under pressure, usually a much more flattering one than the truth. The four o'clock snack and the second helping at dinner don't make it into the answer, and you end up building a plan around a misrepresented diet. Typeform's nutrition consultation form lets clients fill it in at home, where they can check the fridge and take their time.

Clients share their eating patterns, health history, medications, restrictions, and what they want to change. A client managing a diagnosed condition answers about their medications and any guidance from their doctor, while one training for an event answers about their load and meal timing. Respondents can attach a few days of food diary at the same time.

You open each intake knowing what a client eats, what they can't, and what they're working toward. The nutrition plan you build rests on their real diet rather than a hopeful summary of it, which is the difference between advice a client follows and advice they quietly abandon.

Nutrition consultation form template FAQs:

A nutrition consultation form is an online form nutritionists and dietitians use to collect a client's dietary and health information before their first session. It collects eating patterns, allergies and restrictions, medical history and medications, lifestyle, and the goals the client wants to work toward. Practitioners use this nutrition consultation form to build plans on an accurate picture of what a client eats.

Without a nutrition consultation form, dietary history comes out in conversation, where clients under-report without meaning to. They forget the afternoon snack, round the portions down, and describe a week that went better than the one they had. A nutrition consultation form lets clients answer at home over a few days, so the picture you work from is closer to what they actually eat.

Capture what shapes a plan:

  • Typical daily eating patterns
  • Allergies, intolerances, and restrictions
  • Medical history and medications
  • Goals and what they've already tried
  • Schedule, budget, and cooking setup

Yes. Clients can upload a food diary, photos of meals, or lab results from their doctor with File Upload, available on paid Typeform plans. They can add images or PDFs up to 10MB each, so you see a few real days of eating rather than a summary written from memory. Every file arrives attached to the intake.

Yes. Send the same form again at set intervals, and each round gives you a fresh read on what's changed in a client's eating and where the plan is holding. Because every submission is dated, you can line their answers up over months and see what actually shifted, instead of relying on how the last session felt.

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