Getting to know you before we get started!
Food questionnaire
Email address *
Full Name *
Your answer
Your age *
Your answer
Do you have any food allergies or intolerance? *
Do you have any medical conditions related to nutrition or exercise? ie. high blood pressure, diabetes, knee injury (can't exercise) etc.
Your answer
What do you usually have for breakfast? *
Your answer
What do you usually have for lunch? *
Your answer
What do you usually have for dinner? *
Your answer
What do you usually have for a snack? & at what time *
Your answer
Do you take protein shakes? *
Do you take any supplements? If yes, what are they?
Your answer
Do you workout? If yes, what's your workout like and how many days per week?
Your answer
Do you weigh yourself or have done a recent body composition analysis? If yes, what's your current weight and height?
Your answer
Write in details what you ate yesterday from waking up until sleeping:
Your answer
Any other details you'd like to add in terms of food or exercise?
Your answer
What are you looking for from this consultation? *
Your answer
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