Meal Planning Assessment

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Welcome

I am so excited to create you a delicious nutrition plan, designed specifically for your needs and to help you reach your goals. Please complete this form to help me better understand your ambitions, typical diet, lifestyle and preferences.

Remember — there is no such thing as “too much information” here. The honest information you provide will help me create an amazing plan that you will love!

🔒 All information shared will be kept strictly confidential.

What is your name and email address? *

How many people are in your family that you cook for daily, and what are the ages?

What do you hope to achieve through having a meal plan?

Would you say your family is adventurous or cautious with trying new food?

Adventurous

Cautious

Cautious but we want to be stretched

Clear selection

What is your motivation for seeking out a meal plan?

How much time would do you feel is reasonable for you to spend preparing dinner?

Which food prep style best describes you?

I like to prep food in advance and eat meals that use the same ingredient more than once in a week

I want to spend more time cooking and have different meals each day

I like to spend 3-4 hours on the weekend prepping for the coming week

Clear selection

What are your health, lifestyle and dietary goals?

Have you ever followed a diet?

If so, describe your experience.

Do you feel your current diet is healthy?

Yes

Clear selection

If No, what do you think your current diet is lacking?

Do you have any digestive issues?

Yes

Clear selection

If Yes, what kind and how often?

Rate your average daily energy on a scale of 1 to 10

Low Energy

High Energy

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How many times do you eat per day?

Breakfast

Describe your typical Breakfast.

Lunch

Describe your typical Lunch.

Dinner

Describe your typical Dinner.

Snacks

Describe your typical Snacks.

How many meals per week do you eat out?

None

1 to 2

3 to 4

4 or more

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If you eat out, what is the most common meal you will eat out for?

Are there any foods you will not eat due to sensitivities, allergies, or religious reasons?

What are some of your favourite foods to eat?

What excites you about having or following a custom meal plan?

Is there anything that scares you or intimidates you about following a meal plan?

Is there anything else about yourself that you would like to share with me to help in building your meal plan?

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