Questionnaire – Fit With Pro

Full Name *

Email *

Age *

Height *

Current Body Weight *

Ideal Body Weight

Do you want to see changes in your body weight or composition?

If so, describe the types of changes would you like to see.

What are your health, lifestyle and dietary goals?

Have you ever followed a diet?

If so, describe your experience.

What do you hope to achieve through working with a nutritionist?

Do you exercise regularly?

How often and what type of exercise?

Do you feel your current diet is healthy?

What do you think your current diet is lacking?

Do you have any digestive issues?

What kind and how often?

Do you have a bowel movement every day?

How often

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

How many times do you eat per day?

Describe your typical Breakfast.

What time of the day do you eat Breakfast?

Describe your typical Lunch.

What time of the day do you eat Lunch?

Describe your typical Dinner.

What time of the day do you eat Dinner?

Describe your typical Snacks.

What times of the day do you eat Snacks?

How many meals per week do you eat out?

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

What is your motivation for seeking out a meal plan?

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

How much time would you ideally want to spend in the kitchen per day?

Which food prep style best describes you?

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?