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Off Trail Coaching: Nutrition Coaching Intake Form
Please complete the below with as much detail as possible so we can make the most out of the consultation. If you are unsure or don’t have an answer to a question, feel free to leave blank or write “N/A”

By completing this form, you are taking the first step to becoming a coaching client with me! After I review your completed intake form, I will reach out to you directly to set up our consultation call over Zoom and next steps.
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Name  *
Date of Birth *
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Email Address *
Phone
City
State
Height
Weight
Body Fat % (if known)
Gender
Occupation?
Family information: do you have any kids or pets?
Have you worked with a registered dietitian before? If so, what was that experience like? *
Why are you seeking nutrition coaching? What are your specific health and/or performance goals? *
What feels like the biggest challenge for you right now related to nutrition or fueling? What have you tried? Why do you think those things have or have not worked? *
Are you training for any upcoming races or events? If so, what? *
What does a typical training week look like for you right now? (mileage, workouts, strength, cross-training, rest days)
 *
How long have you been training at this level? *
Do you track your training (Garmin, Strava, Training Peaks, etc.)? *
Please describe any previous diets/dietary styles you have tried and what you did and/or did not like about them. *
Please describe your current eating style (plant-based, gluten-free, omnivore, etc.) *
Do you have any specific food likes or dislikes? *
Do you have any known food allergies? *
What is your general daily meal/snack structure? (i.e., 3 meals/2 snacks, 5 small meals, etc.) *
Do you track your food intake and/or your fueling for specific training/races? *
If you are training for an endurance event, what is your general current fueling strategy for training/races of 2 hours or longer? *
What is your current daily water intake? What other fluids do you regularly consume? *
What is your sleep schedule like? How many hours of sleep do you get on average? Do you feel well rested, generally speaking?
What supplements do you take regularly, if any? *
Is there anything in your medical history I would need to know that might affect our conversations about nutrition and health? *
Do you take any medications regularly? If so, which medications? *
What are you most hoping to get out of hiring me as a nutrition coach? *
How do you learn best? Do you prefer a direct or softer coaching approach, or a blend of both? *
Any additional comments?
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