Pre-consultation form
Congratulations! You're going to undertake an exciting quest towards a freer, healthier and more satisfactory relationship with food and your body. Before starting to work together, I need to know some more details about you, so as to be able to offer you the best service possible.
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INTRODUCTION
First of all, some basic info.
Name and surname
Email address
Age
Do you think your weight is healthy? Why?
Tell me about you: family, lifestyle, job, hobbies...
Do you suffer from any kind of illness?
Are you taking any medications? If so, which one/s?
Dietary needs (not your goals, but allergies, intolerances, types of foods you refuse to eat...)
YOUR GOALS
Let's get down to business! Now I know who I'm going to help, but I still need to know the what. Tell me your desires:
What would you like to achieve? (select all the ones you want)
Tell me more about your goals (expectations, specific milestones, previous experiences...)
YOUR CURRENT DIET
Great, now we know the finish line. But we can't set a path without knowing the other extreme, the starting point.
How many meals per day do you eat on average?
Do you eat a similar menu each day or it's more varied?
Do you take supplements? If so, which one/s?
Describe a typical full day of eating. You can give as many details as you want.
Have you asked for nutritional counseling before? If so, describe your experience.
Do you work out? If so, tell me about your training.
We're almost done! This last question is for all those things you wanted to say but haven't found the adequate space to say them in the previous questions,
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