Nutrition QuestionnaireThis questionnaire will help us deliver the best meal plan to help you achieve your goals. Name * First Name Last Name Age * Gender * Email * Phone * (###) ### #### Current Weight * Goal Weight * Height * Activity level * Sedentary Lightly Active Moderately Active Very Active Any existing health conditions (e.g., diabetes, hypertension, allergies) * Medications or supplements currently being taken * Do you follow any specific diets? (e.g., vegetarian, vegan, paleo, keto) * Are there any foods you absolutely cannot or will not eat? * Any known food allergies or intolerances? * Do you prefer organic or non-GMO foods? * Yes No Doesn't matter How many meals do you typically eat in a day? * 1 2 3 4 5 More Do you have specific timing for your meals (e.g., intermittent fasting)? * Are there specific foods or nutrients you're looking to include more of in your diet? (e.g., protein, fiber, omega-3 fatty acids) * Are there specific foods or nutrients you're looking to reduce or avoid? (e.g., refined sugars, processed meats, dairy products, high sodium foods, red meat) * Do you prefer simple meals with few ingredients or are you open to trying more complex recipes? * Simple Complex Mix of Both How often do you cook at home? * What are your primary goals for this meal plan? (e.g., weight loss, muscle gain, improved energy, better digestion) * Are there any cuisines you particularly enjoy or dislike? * Do you have any equipment limitations in your kitchen? (e.g., no oven, no blender) * Do you drink alcohol? If yes, how often and what type? * Any other preferences, considerations, or information you'd like to share? * Thank you!
